切开复位Herbert螺钉内固定治疗肱骨外上髁粉碎骨折  

Open reduction and internal fixation with Herbert screws for the treatment of lateral epicondyle of humeral comminuted fracture

作　　者：吴昱成 问肃生 商鸿[1] 雷晓亭 赵溪林[1] 杨林[1] 温东宏 WU Yu-cheng;WEN Su-sheng;SHANG Hong;LEI Xiao-ting;ZHAO Xi-lin;YANG Lin;WEN Dong-hong(Sectiort Ⅱ,Dept of Orthopaedics,the First People＇s Hospital of Tiartshui,Tianshui,Gansu 741000,China)

机构地区：[1]天水市第一人民医院骨二科,甘肃天水741000

出　　处：《临床骨科杂志》2018年第3期306-307,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨切开复位Herbert螺钉内固定治疗肱骨外上髁粉碎骨折的疗效。方法采用切开复位Herbert螺钉内固定治疗20例肱骨外上髁粉碎骨折患者。结果患者均获得随访,时间6～12个月。伤口愈合良好,骨折均愈合。肱骨远端骨折复位固定与肱骨远端前倾角恢复均良好,肘关节屈伸功能恢复满意,无神经症状。末次随访时,Mayo肘关节功能评分:≥90分12例,75～89分6例,60～74分2例。结论切开复位Herbert螺钉内固定治疗肱骨外上髁粉碎骨折临床效果满意。Objective To investigate the effect of open reduction and internal fixation with Herbert screws for treatment of lateral epicondyle of humeral fractures. Methods Twenty cases of lateral epicondyle of humeral fractures were treated with open reduction and internal fixation with Herbert screws. Results All cases were followed up for 6 ～ 12 months. The wound was healed well,all patients＇ fractures were healed. Distal humeral fracture got reduction and good fixation,the top rake of distal humeral and elbow joint flexion and extension recovered well,without neurological symptoms. At the last follow-up,Mayo elbow performance scores were≥90 in 12 cases,75 ～ 89 in 6,60 ～ 74 in 2. Conclusions Open reduction and Herbert screws fixtion are used to treat of lateral epicondyle of humeral fracture,the clinical results are satisfactory.

关 键 词：肱骨髁部骨折 骨折固定术 内 HERBERT螺钉 

分 类 号：R683.41[医药卫生—骨科学] R687.32[医药卫生—外科学]