CAJ | 학술논문

目的：观察应用改良高尔夫接骨板治疗肱骨远端A2型骨折的临床疗效。方法肱骨远端A2型骨折患者12例，术中采用肱骨后侧入路，劈开肱三头肌显露骨折端，根据骨折特点选取合适长度的改良高尔夫接骨板，骨折断端复位后将接骨板改良端置于肱骨远端后外侧固定，术后早期功能锻炼。结果术后患者均得到随访，随访时间8~21个月，平均12.6个月。所有骨折一期愈合良好，Mayo肘关节功能评分，优9例，良2例，可1例。结论改良高尔夫接骨板是治疗肱骨远端A2型骨折的有效方法。
목적：관찰응용개량고이부접골판치료굉골원단A2형골절적림상료효。방법굉골원단A2형골절환자12례，술중채용굉골후측입로，벽개굉삼두기현로골절단，근거골절특점선취합괄장도적개량고이부접골판，골절단단복위후장접골판개량단치우굉골원단후외측고정，술후조기공능단련。결과술후환자균득도수방，수방시간8~21개월，평균12.6개월。소유골절일기유합량호，Mayo주관절공능평분，우9례，량2례，가1례。결론개량고이부접골판시치료굉골원단A2형골절적유효방법。
Objective To explore the method and the clinical efficacy of modified golf plate for A2 distal humeral fractures in adults. Methods We operated 12 patients with modified golf plate for distal humeral fractures of type A2 according to AO classification. Through posterior approach,the triceps were split and exposed the fractures. After reduction of the fracture,the modified golf plate was placed in the posterior-lateral column of humerus,then screws were inserted for fixation. Early mobilization to the functional restoration should be ensured. Results Twelve patients were followed up from 8 to 21 months, averaging 12. 6 months. All the fractures obtained satisfactory heal in the first stage. The patients were evaluated using the criteria of Mayo elbow performance score:excellent in 9 cases,good in 2 cases,fair in 1 case. Conclusion Modified golf plate is effective to treat distal humeral fractures of type A2.