医学信息（内·外科版）
醫學信息（內·外科版）
의학신식（내·외과판）
MEDICAL INFORMATION SECTION OF OPERATIVE SURGERY
2009年
6期
485-486
,共2页
秦步平%黄永刚%周荣%马向阳
秦步平%黃永剛%週榮%馬嚮暘
진보평%황영강%주영%마향양
尺骨鹰嘴%劈开%固定%肱骨髁间骨折
呎骨鷹嘴%劈開%固定%肱骨髁間骨摺
척골응취%벽개%고정%굉골과간골절
olecroanon%osteotomy%fixation%humeral intercondylar fracture
目的 介绍改良尺骨鹰嘴劈开、肱三头肌外缘入路、复位、锁定钛板固定肱骨髁间粉碎性骨折.方法 于尺骨鹰嘴后方将尺骨鹰嘴V形劈开并向后上翻转,自肱三头肌外缘向内牵开并显露肱骨下端,复位、锁定钛板固定肱骨髁间粉碎性骨折.结果 改良尺骨鹰嘴劈开、肱三头肌外缘入路,复位、锁定钛板固定肱骨髁问粉碎性骨折28例,功能恢复良好.结论 改良尺骨鹰嘴劈开、肱三头肌腱外缘入路,复位、锁定钛板固定肱骨髁间粉碎性骨折操作简便,疗效满意,并发症少,值得推广.
目的 介紹改良呎骨鷹嘴劈開、肱三頭肌外緣入路、複位、鎖定鈦闆固定肱骨髁間粉碎性骨摺.方法 于呎骨鷹嘴後方將呎骨鷹嘴V形劈開併嚮後上翻轉,自肱三頭肌外緣嚮內牽開併顯露肱骨下耑,複位、鎖定鈦闆固定肱骨髁間粉碎性骨摺.結果 改良呎骨鷹嘴劈開、肱三頭肌外緣入路,複位、鎖定鈦闆固定肱骨髁問粉碎性骨摺28例,功能恢複良好.結論 改良呎骨鷹嘴劈開、肱三頭肌腱外緣入路,複位、鎖定鈦闆固定肱骨髁間粉碎性骨摺操作簡便,療效滿意,併髮癥少,值得推廣.
목적 개소개량척골응취벽개、굉삼두기외연입로、복위、쇄정태판고정굉골과간분쇄성골절.방법 우척골응취후방장척골응취V형벽개병향후상번전,자굉삼두기외연향내견개병현로굉골하단,복위、쇄정태판고정굉골과간분쇄성골절.결과 개량척골응취벽개、굉삼두기외연입로,복위、쇄정태판고정굉골과문분쇄성골절28례,공능회복량호.결론 개량척골응취벽개、굉삼두기건외연입로,복위、쇄정태판고정굉골과간분쇄성골절조작간편,료효만의,병발증소,치득추엄.
Objective To recommend the improved operation for treatment of the severe humeral intercondylar fracture, including olecranon osteotomy, approach of outer margin of triceps brachii muscle, reduction and internal fixa-tion by locking titanium plates. Methods The improved operation was used to treat 28 patients with severe humeral in-tercondylar fractures,during which the adsorbable tension band and the locking titanium plate were used. Results All patients were followed up, and it was revealed that the function of elbow joints recovered satisfactorily. Conclusions The improved operation has the advantages of convenient procedure,satisfactory effect and fewer complications,se it is worth using.
