国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
9期
23-25
,共3页
肱骨髁间骨折%双钢板固定技术%尺骨鹰嘴截骨
肱骨髁間骨摺%雙鋼闆固定技術%呎骨鷹嘴截骨
굉골과간골절%쌍강판고정기술%척골응취절골
Humeral intercondylar fractures%Double-plate technique%Trans-olecranon osteotomy
目的 探讨经尺骨鹰嘴截骨入路应用双钢板固定技术治疗肱骨髁间骨折的疗效.方法 2004年6月-2008年2月我科收治肱骨髁间粉碎性骨折31例,所有病例行后路经尺骨鹰嘴截骨入路,使用双钢板内固定,术后尽早行肘关节的主动功能锻炼.结果 31例随访6～24个月,平均11.5个月,骨折全部愈合,无肘内翻发生.伤口Ⅰ期愈合,无感染发生.尺神经损伤经神经营养药物治疗后恢复.肘关节功能恢复良好,根据Mayo肘关节功能评分,优21例,良10例.结论 经尺骨鹰嘴截骨入路应用双钢板固定技术是治疗肱骨髁间粉碎性骨折的较好方法.
目的 探討經呎骨鷹嘴截骨入路應用雙鋼闆固定技術治療肱骨髁間骨摺的療效.方法 2004年6月-2008年2月我科收治肱骨髁間粉碎性骨摺31例,所有病例行後路經呎骨鷹嘴截骨入路,使用雙鋼闆內固定,術後儘早行肘關節的主動功能鍛煉.結果 31例隨訪6～24箇月,平均11.5箇月,骨摺全部愈閤,無肘內翻髮生.傷口Ⅰ期愈閤,無感染髮生.呎神經損傷經神經營養藥物治療後恢複.肘關節功能恢複良好,根據Mayo肘關節功能評分,優21例,良10例.結論 經呎骨鷹嘴截骨入路應用雙鋼闆固定技術是治療肱骨髁間粉碎性骨摺的較好方法.
목적 탐토경척골응취절골입로응용쌍강판고정기술치료굉골과간골절적료효.방법 2004년6월-2008년2월아과수치굉골과간분쇄성골절31례,소유병례행후로경척골응취절골입로,사용쌍강판내고정,술후진조행주관절적주동공능단련.결과 31례수방6～24개월,평균11.5개월,골절전부유합,무주내번발생.상구Ⅰ기유합,무감염발생.척신경손상경신경영양약물치료후회복.주관절공능회복량호,근거Mayo주관절공능평분,우21례,량10례.결론 경척골응취절골입로응용쌍강판고정기술시치료굉골과간분쇄성골절적교호방법.
Objective To explore the effect of double-plate technique on humeral intercondylar fractures. Methods 31 cases of humeral intercondylar fractures using double-plate technique were analyzed. Postoperative patients began the active training of elbow joint as soon as possible. Results Bone union was obtained in all patients with humeral intercondylar fractures. The average time of concrescence was 11.5 months.No cases of cubitus varus happen, the ulnar nerve injury recovered with neural nutrients, and elbow function recovered satisfactorily. Of 31 cases 21 were excellent, 4 were good. Conclusion Double-plate technique was proved to be a good method in treatment of humeral intercondylar fractures.
