复杂肱骨远端骨折的双钢板内固定治疗_West China Medical Journal

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易疆莺 , 李浩 , 邹远云 , 曹万军 , 杏建东 , 边防 , 吴旭东 , 刘泽宇

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肱骨远端骨折; 内固定，肘关节

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【摘要】　目的　总结双钢板内固定治疗复杂肱骨远端骨折的临床疗效。　方法　 2004年1月-2008年5月，采用双钢板内固定治疗15例复杂肱骨远端骨折患者。按照AO/ASIF分型，患者均为C型骨折。其中C1型4例，C2型4例， C3型7例。受伤至手术时间平均2.5 d。C1、C2型骨折复位后用双钢板固定，C3型骨折复位后先用细克氏针固定髁间骨折块，再用双钢板固定。手术后3～5 d佩带活动型肘关节支具进行功能锻炼。随访观察7～16个月，平均13个月。按照Mayo评分标准评定肘关节功能。　结果　 15例患者肱骨髁间及髁上骨折均愈合，时间为3～6个月，平均4.5个月。Mayo评分：优8例，良4例，可2例，差1例，优良率80%。　结论　对复杂肱骨远端骨折采取早期切开解剖复位、双钢板内固定，使用活动型肘关节支具进行早期功能锻炼，能显著降低相关并发症，促进肘关节功能的恢复。

Citation： 易疆莺,李浩,邹远云,曹万军,杏建东,边防,吴旭东,刘泽宇. 复杂肱骨远端骨折的双钢板内固定治疗. West China Medical Journal, 2010, 25(12): 2249-2251. doi: Copy

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1. 　Ruedi TP, Murphy WM. 骨折治疗的AO原则[M]. 王满宜, 杨庆铭, 曾炳芳, 等, 译. 北京: 华夏出版社, 2003: 53.
2. 　Morrey BF, An KN, Chao EY, et al. Functional evaluation of the elbow[M]. Morrey BF, The elbow and its disorders. 2nd eds. Philadelphia: Saunder, 1993: 86-89.
3. 　Gainor BJ, Moussa F, Schott T. Healing rate of transverse osteotomies of the olecranon used in reconstruction of distal humerus fractures[J]. J South Orthop Assoc 1995, 4(4): 263-268.
4. 　周方, 郭琰. 成人肱骨髁间髁上骨折患者术后肘关节功能恢复的影响因素[J]. 中华创伤骨科杂志, 2006, 8(1): 13-15.
5. 　Eralp L, Kocaoglu M, Sar C, et al. Surgical treatment of distal intraarticular humeral fractures in adults[J]. Int Orthop, 2001, 25(1): 46-50.
6. 　Self J, Viegas SF, Buford WL Jr, et al. A comparison of double-plate fixation methods for complex distal humerus fractures[J]. J Shoulder Elbow Surg, 1995, 4(1): 10-16.
7. 　Korner J, Lill H, Muller LP, et al. The LCP-concept in the operative treatment of distal humerus fractures-biological, biomechanical and surgical aspects [J]. Injury, 2003, 34(Suppl 2): B20-30.
8. 　Browner BD. Skeletal trauma[M]. 2nd ed. Philadelphia: WB Saunders, 1998: 14384-14389.

West China Medical Journal

复杂肱骨远端骨折的双钢板内固定治疗

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