摘要
目的探讨内外侧联合入路双钢板固定治疗肱骨远端C型骨折的疗效。方法采用内外侧联合入路双钢板固定治疗25例肱骨远端C型骨折患者。记录术中出血量、手术时间、骨折愈合时间、并发症发生情况。采用Mayo评分评价肘关节功能。结果患者均获得随访,时间15~24个月。术中出血量100~240(156.0±34.6)ml,手术时间90~150(115.6±18.3)min。切口均一期愈合。术后无切口感染、内固定松动或断裂、骨折不愈合、异位骨化等并发症发生。骨折均愈合,时间2.5~3.5(3.1±0.3)个月。末次随访时采用Mayo评分评价的肘关节功能优良率为22/25。结论内外侧联合入路双钢板固定治疗肱骨远端C型骨折,不仅具有术野范围广、显露前方关节面好、不损伤后侧伸肘结构的优点,而且使肱骨远端内外侧柱及髁间骨折块有足够的力学稳定性,配合患者积极的功能锻炼,临床疗效满意。
Objective To investigate the clinical efficacy of double plates fixation via combined medial and lateral approaches in treatment of type C distal humerus fractures.Methods The 25 patients with type C distal humeral fractures were treated with double plates fixation via combined medial and lateral approaches.The intraoperative bleeding volume,surgical time,fracture healing time,and incidence conditions of complications were recorded.Mayo score was used to evaluate elbow joint function.Results All patients were followed up for 15~24 months.The intraoperative bleeding volume was 100~240(156.0±34.6)ml,and the surgical time was 90~150(115.6±18.3)min.The incisions were all healed in one-stage.There were no postoperative complications such as incision infection,loosening or broken of the internal fixation,nonunion,or ectopic ossification.All fractures healed,with a duration of 2.5~3.5(3.1±0.3)months.At the last follow-up,the excellent-good rate of elbow joint function evaluated by Mayo score was 22/25.Conclusions The double plates fixation via combined medial and lateral approaches are used to treat type C distal humerus fractures,which not only have the advantages of sufficient surgical field,better exposure of the anterior joint surface,and not damaging the posterior elbow extension structure,but also makes the distal internal and external column and intercondyle fracture block have sufficient mechanical stability,combining active functional exercise of the patients,the clinical effect is satisfactory.
作者
许汉荣
芦银江
张威
景益彪
吴力军
XU Han-rong;LU Yin-jiang;ZHANG Wei;JING Yi-biao;WU Li-jun(Dept of Orthopaedics,Shangyu People′s Hospital of Shaoxing City,Shaoxing,Zhejiang 312300)
出处
《临床骨科杂志》
2024年第3期375-378,共4页
Journal of Clinical Orthopaedics
关键词
肱骨骨折
双钢板内固定
humerus fracures
double plates internal fixation
