CAJ | 학술논문

目的：探讨经尺骨鹰嘴截骨垂直双钢板固定治疗 C 型肱骨远端骨折的方法和临床疗效。方法：2005年7月-2012年11月采用经尺骨鹰嘴截骨入路垂直双钢板固定治疗 C 型肱骨远端骨折36例。骨折按照 AO/ASIF 分类：C18例,C216例,C312例。结果：36例获得随访,时间5~28个月,平均14.3个月。骨折全部愈合,愈合时间12~20周,平均15.8周,无切口感染、内固定松动及断裂等。疗效参照改良的 Cassebaum 法评估：优10例,良19例,可3例,差4例；优良率80.6%。结论：经尺骨鹰嘴截骨垂直双钢板固定治疗 C 型肱骨远端骨折,稳定性好,可早期进行关节功能锻炼,疗效好。
목적：탐토경척골응취절골수직쌍강판고정치료 C 형굉골원단골절적방법화림상료효。방법：2005년7월-2012년11월채용경척골응취절골입로수직쌍강판고정치료 C 형굉골원단골절36례。골절안조 AO/ASIF 분류：C18례,C216례,C312례。결과：36례획득수방,시간5~28개월,평균14.3개월。골절전부유합,유합시간12~20주,평균15.8주,무절구감염、내고정송동급단렬등。료효삼조개량적 Cassebaum 법평고：우10례,량19례,가3례,차4례；우량솔80.6%。결론：경척골응취절골수직쌍강판고정치료 C 형굉골원단골절,은정성호,가조기진행관절공능단련,료효호。
To explore the surgical managements and clinical effects in patients with AO type C fractures of the distal humerus treated using perpendicular double plating methods through olecranon osteotomy approach.Meth-ods:From July 2005 to November 2012,36 patients with type C fractures of the distal humerus were treated using per-pendicular double plating method through olecranon osteotomy approach.According to AO/ASIF classification,there were 8 cases of type C1 ,1 6 cases of type C2 ,12 cases of type C3 .Results:All patients were followed up for 5 ~ 28 months (average 14.3 months).All fractures healed.The healing time was 12 ~ 20 weeks(average 1 5.8 weeks). There was no incision infection and failure of osteosynthesis.According to Cassebaum scoring system,there were 10 excellent cases,1 9 good,3 fair and 4 poor.The excellent and good rate was 80.6%.Conclusion:Perpendicular double plating through olecranon osteotomy approach has advantages of stable fixation,early functional exercise and good clini-cal effects,is an ideal methods for treating AO type C fractures of the distal humerus.