平行钢板技术在肱骨髁间骨折的临床应用及疗效评析  

Analysis of Clinical Application and Curative Effect of Parallel Steel Plate Technology in Intercondylar Fracture of Humerus

作　　者：白捷 陈嘉民 李军 蒋涛 

机构地区：[1]云南省交通中心医院骨科,云南昆明650041

出　　处：《中外医疗》2017年第2期83-84,87,共3页China & Foreign Medical Treatment

摘　　要：目的观察评析平行钢板技术在肱骨髁间骨折的临床应用及疗效。方法方便选取在该院进行平行钢板技术治疗的58例肱骨髁间骨折患者(2013年1月—2016年1月期间)进行回顾性分析。观察其手术时间、术中出血量以及骨折愈合时间,并进行4个月的随访,观察其优良率、运动功能状况(Fugl-Meyer)以及日常生活活动能力(Barthel)以及不良反应。结果其手术时间、术中出血量以及骨折愈合时间均较短,且经过4个月随访发现,按改良Cassebaum评分系统评分,优40例,良10例,可6例,差2例,优良率为86.21%;治疗后,Fugl-Meyer评分、Barthel指数评分均较高;其中不良反应发生率6.90%。结论平行钢板技术是治疗肱骨髁间骨折的较好方法,值得广泛推广。Objective To observe the clinical application and curative effect of parallel steel plate technology in intercondylar fracture of humerus. Methods Convenient selection 58 cases of patients with intercondylar fracture of humerus treated with the parallel steel plate technology in our hospital from January 2013 to January 2016 were selected and the operation time, intraoperative bleeding amount and fracture healing time were observed and the excellent and good rate, Fugl-Meyer,Barthel and adverse reactions were observed by the 4-month follow-up. Results The operative time, intraoperative bleeding amount and fracture healing time were shorter, and the 4-month follow-up showed that 40 cases were excellent, 10 cases were good, 2 cases were moderate and 2 cases were poor according to the modified Cassebaum score system, and the excellent and good rate was 86.21%, and after treatment, the Fugl-Meyer score and Barthel index score were higher, and the incidence rate of adverse reactions was 6.90%. Conclusion The parallel steel plate technology is a better method of treatment for intercondylar fracture of humerus, which is worth wide promotion.

关 键 词：平行钢板技术 肱骨髁间骨折 疗效 临床应用 

分 类 号：R683[医药卫生—骨科学]