成人肱骨髁上骨折手法复位夹板固定与切开复位内固定手术治疗的临床疗效观察  

Clinical Observation on the Treatment of Adult Humeral Condylar Fracture With Manipulative Reduction and Splint Fixation and Open Reduction and Internal Fixation

作　　者：野向阳[1] 

机构地区：[1]吉林省四平市中心人民医院骨科,136000

出　　处：《中国继续医学教育》2015年第27期162-163,共2页China Continuing Medical Education

摘　　要：目的比较分析成人肱骨髁上骨折进行手法复位夹板固定和切开复位内固定两种治疗手段的临床疗效。方法回顾分析符合标准患者共69例纳入本研究,比较手术前后肘关节功能的优良率,统计学方法进行数据处理。结果两种治疗方案均可改善成人肱骨髁上骨折肘关节的功能障碍,对照组的肘关节Mayo评分优良率和平均肘内翻角度优于试验组,且其差异有统计学意义。结论与切开复位内固定术相比,手法复位夹板固定可获得满意肘关节功能。Objective Comparison and analysis of the clinical efficacy using manipulative reduction splinting and open reduction and internal fixation in adult humerus fracture treatment.Methods 69 patients were analyzed in accordance with the criteria of the patients. Compare elbow good rate function of two groups of patients before and after surgery. Data processing with statistical methods.Results Two treatment programs both could signiifcantly improve dysfunction of adult humeral fractures elbow, excellent rate of Mayo elbow score and average cubitus varus angle in the control group clearly better than the test group, and there was signiifcant statistical difference.Conclusion Compared with open reduction and internal fixation, manipulative reduction splinting can entirely acquired satisifed elbow function.

关 键 词：成人肱骨髁上骨折 手法复位夹板固定 切开复位内固定 临床疗效 

分 类 号：R687[医药卫生—骨科学]