不同双钢板内固定方式治疗肱骨远端AO-C型骨折的临床疗效研究  

Clinical study of different double plate internal fixation for AO-C type distal humeral fractures

作　　者：于广洋[1] 刘刚[1] 唐晓明[1] YU Guangyang;LIU Gang;TANG Xiaoming(Department of Orthopaedics,Affiliated Huai′an First Hospital of Nanjing Medical University,Huai′an,Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院骨科

出　　处：《现代医药卫生》2019年第22期3436-3439,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨垂直双钢板及平行双钢板2种内固定方式治疗肱骨远端AO-C型骨折的临床效果。方法选取2011年9月至2017年8月该院收治的肱骨远端AO-C型骨折患者47例,按内固定方式分为垂直双钢板组(垂直组,25例)及平行双钢板组(平行组,22例),对两组术后骨折愈合时间、肘关节功能及并发症等进行分析。结果两组术后骨折愈合时间、屈曲度、伸直度、活动范围及并发症发生率比较,差异均无统计学意义(P>0.05)。垂直组术后肘关节功能评分为(88.8±10.3)分,与平行组的(90.3±10.9)分比较,差异无统计学意义(P>0.05)。结论垂直双钢板及平行双钢板2种内固定方式治疗肱骨远端AO-C型骨折的临床效果无明显区别,但对于粉碎更为严重或合并明显骨质疏松的患者,采用平行双钢板固定可能更有优势。Objective To explore the clinical effect of vertical and parallel double plates in the treatment of AO-C fracture of distal humerus.Methods Forty-seven patients with AO-C fracture of distal humerus treated in the hospital from September 2011 to August 2017 were divided into vertical double plate group(vertical group,25 cases)and parallel double plate group(parallel group,22 cases).The healing time,elbow joint function and complications of the two groups were analyzed.Results There were no significant differences in healing time,flexion,straightness,range of motion and incidence of complications between the two groups(P>0.05).The elbow function score of the vertical group was(88.8±10.3)and that of the parallel group was(90.3±10.9).There was no significant difference between the two groups(P>0.05).Conclusion There is no significant difference in the clinical effect of AO-C fracture of distal humerus treated with vertical double plate and parallel double plate fixation,but for patients with more severe comminution or osteoporosis,parallel double plate fixation may be more advantageous.

关 键 词：肱骨远端骨折 骨折固定术 内 生物力学现象 

分 类 号：R683.4[医药卫生—骨科学]