双锁定解剖钢板内固定治疗肱骨远端C型骨折疗效分析  

Double locking anatomic plate internal fixation for humeral distal C type fractures

作　　者：曹前来[1] 王安[1] 赵卫[2] 杨海涛[1] 王良意[1] 

机构地区：[1]武警上海总队医院骨科,上海201103 [2]武警上海总队医院卫生处,上海201103

出　　处：《武警后勤学院学报（医学版）》2014年第10期833-835,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨双锁定解剖钢板内固定技术治疗肱骨远端C型骨折的方法与疗效。【方法】31例采用经尺骨鹰嘴截骨入路或肱三头肌舌形瓣入路,钢板平行放置于肱骨髁内外侧柱两侧固定,重建肱骨远端三角形框架结构稳定性。【结果】随访10～24个月,平均16个月,按Gassebaum标准评定,手术治愈的优良率83.9%。另有内固定失效1例,造成肘关节畸形愈合;钢板近端螺孔部位骨折移位1例,再手术后出现关节功能严重障碍;尺神经挫伤3例,非手术治愈。【结论】双锁定解剖钢板内固定技术治疗肱骨远端C型骨折,固定骨折可靠、方法简便,能早期功能锻炼,有效防止肘关节粘连和僵直。【Objective】Discuss the method and efficacy of humerus distal type C fracture in the double locking anatomic plate internal fixation technique.【Metohds】31 cases using the ulna olecranon bone cutting into the road or triceps flapper valve into the road,parallel placed in humerus condyle steel plate inside and outside column on both sides of the fixed,distal humerus reconstruction triangle frame structure stability.【Results】Follow-up of 10 to 24 months,an average of 16 months,according to standard Gassebaum evaluation,operation cure is 83.9%.Otherwise internal fixation failure in 1 case,cause elbow malunion.Steel plate proximal screw hole position fracture displacement in 1 case,joint function after reoperation serious obstacle.Ulnar nerve injury（3 cases）,non-surgical cured.【Conclution】Double locking anatomic plate internal fixation technique in the treatment of humerus distal type C fracture,fracture fixation method is simple,reliable early functional exercise,effectively prevent elbow adhesion and stiffness.

关 键 词：肱骨远端骨折 锁定解剖钢板 内固定 

分 类 号：R681.7[医药卫生—骨科学]