CAJ | 학술논문

目的评价经鹰嘴截骨双钢板内固定治疗肱骨远端粉碎性骨折的疗效.方法对28例肱骨远端粉碎性骨折采取后路经鹰嘴截骨切口,开放解剖复位,双钢板内固定,术后早期功能锻炼.结果 28例患者获得9～31个月的随访,用改良Cansebaum评分系统评价术后疗效,优10例,良12例,可5例,差1例,优良率78.57%(22/28).结论经鹰嘴截骨双钢板内固定和早期的功能锻炼,不失为治疗肱骨远端粉碎性骨折的一种有效手段.
목적 평개경응취절골쌍강판내고정치료굉골원단분쇄성골절적료효.방법 대28례굉골원단분쇄성골절채취후로경응취절골절구,개방해부복위,쌍강판내고정,술후조기공능단련.결과 28례환자획득9～31개월적수방,용개량Cansebaum평분계통평개술후료효,우10례,량12례,가5례,차1례,우량솔78.57%(22/28).결론 경응취절골쌍강판내고정화조기적공능단련,불실위치료굉골원단분쇄성골절적일충유효수단.
Objective To evaluate the effect of the distal humerus extremity comminuted fracture treated by double plates through oleeranon osteotomy. Method Twenty-eight patients with humerus extremity comminuted fractures were fixed by double plates through olecranon osteotomy followed by early functional exercise. Results All the cases were followed up 9-31 months. The curative effect was assessed by the method of modified Cassebaum rating system. The operation was excellent in 10 cases, good in 12 cases, fair in 5 cases, bad in 1 case. The excellent and good rate was 78.57%(22/28). Conclusion Treatment of humerus extremity comminuted fractures by double plates through olecranon osteotomy followed by early functional exercise are excellent with satisfactory functional recovery.