经尺骨鹰嘴截骨入路双钢板内固定治疗AO-C型肱骨远端骨折的效果及对肘肩关节功能、肌力恢复的影响  

Effect of double plate internal fixation through olecranon osteotomy approach in the treatment of AO-C type distal humeral fracture and its influences on the elbow and shoulder joint function and recovery of muscle strength

作　　者：方锐 郭建平 FANG Rui;GUO Jianping(the First People's Hospital of Xianyang,Xianyang 712000,China)

机构地区：[1]咸阳市第一人民医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第3期74-77,共4页Clinical Research and Practice

摘　　要：目的探讨经尺骨鹰嘴截骨入路双钢板内固定治疗AO-C型肱骨远端骨折的临床效果。方法选取2019年5月至2021年5月我院收治的90例AO-C型肱骨远端骨折患者,以数字随机法将其分为对照组和观察组,各45例。对照组行肱三头肌两侧入路双钢板内固定手术,观察组行经尺骨鹰嘴截骨入路双钢板内固定手术。比较两组的治疗效果。结果观察组的治疗优良率高于对照组(P<0.05)。术后3个月,观察组的Mayo肘关节功能评分(MEPS)、Neer评分高于对照组(P<0.05)。术后3个月,观察组的肘屈曲、伸展60°峰力矩(PT)大于对照组,肘屈曲、伸展180°到达峰力矩时间(TPT)短于对照组(P<0.05)。结论经尺骨鹰嘴截骨入路双钢板内固定治疗AO-C型肱骨远端骨折可提高效果,有效促进患者肘肩关节功能改善和肌力恢复。Objective To investigate the clinic effect of double plate internal fixation through olecranon osteotomy approach in the treatment of AO-C type distal humeral fracture.Methods A total of 90 patients with AO-C type distal humeral fracture admitted in our hospital from May 2019 to May 2021 were selected and divided into control group and observation group by digital random method,with 45 cases in each group.The control group was treated with double plate internal fixation through triceps brachii bilateral approach,while the observation group was treated with double plate internal fixation through olecranon osteotomy approach.The therapeutic effects of the two groups were compared.Results The excellent and good rate of treatment in the observation group was higher than that in the control group(P<0.05).At 3 months after operation,the scores of Mayo Elbow Performance Score(MEPS)and Neer in the observation group were higher than those in the control group(P<0.05).At 3 months after operation,the peak torque(PT)of elbow flexion and extension at 60°in the observation group were greater than those in the control group,and the time to peak torque(TPT)of elbow flexion and extension at 180°were shorter than those in the control group(P<0.05).Conclusion Double plate internal fixation through olecranon osteotomy approach in the treatment of AO-C type distal humeral fracture can improve the effect,and effectively promote the improvement of elbow and shoulder joint function and the recovery of muscle strength.

关 键 词：经尺骨鹰嘴截骨入路 双钢板内固定 AO-C型肱骨远端骨折 肘肩关节功能 肌力 

分 类 号：R681.5[医药卫生—骨科学]