CAJ | 학술논문

[目的]与经尺骨鹰嘴截骨入路比较，探讨经肱三头肌侧方入路治疗肱骨髁间骨折的方法和临床疗效差异。[方法]选择2008年1月至2012年6月符合纳入标准的肱骨髁间骨折患者97例，依手术入路方法随机分为经肱三头肌侧方入路组和尺骨鹰嘴截骨组，随访观察两组疗效并进行统计学比较。[结果]97例均获随访，创口愈合良好。骨折均愈合，平均愈合时间18.2±4.5周。根据改良Cassbaum评价标准评价肘关节功能，优37例，良43例，可13例，差4例。与经尺骨鹰嘴截骨入路比较，经肱三头肌侧方入路双钢板固定治疗肱骨髁间骨折临床疗效更优（P<0.01）。[结论]经肱三头肌侧方入路双钢板固定具有创伤小、术中内固定放置简单、骨折复位良好、术后可以早期功能锻炼的优点。
[목적]여경척골응취절골입로비교，탐토경굉삼두기측방입로치료굉골과간골절적방법화림상료효차이。[방법]선택2008년1월지2012년6월부합납입표준적굉골과간골절환자97례，의수술입로방법수궤분위경굉삼두기측방입로조화척골응취절골조，수방관찰량조료효병진행통계학비교。[결과]97례균획수방，창구유합량호。골절균유합，평균유합시간18.2±4.5주。근거개량Cassbaum평개표준평개주관절공능，우37례，량43례，가13례，차4례。여경척골응취절골입로비교，경굉삼두기측방입로쌍강판고정치료굉골과간골절림상료효경우（P<0.01）。[결론]경굉삼두기측방입로쌍강판고정구유창상소、술중내고정방치간단、골절복위량호、술후가이조기공능단련적우점。
Objective] To review clinical outcome of intercondylar humeral fractures treated with bilateral triceps and olecranon ostetomy.[Method] From January 2008 to June 2012, two kinds of surgical approach and double plate fixation were performed in 97 cases with intercondylar humeral fracture, male 39 cases, female 58 cases, with an average age of 41.8 years. According to AO classification:C1 type(30), C2 type(45), C3 type(22). [Results] 97 cases were fol owed up, the wound healed wel . Fractures were healed, and the average healing time was 18.2 ±4.5 weeks. According to the modified Cassbaum evaluation standard of elbow function:excel ent(37), good(43), fair(13) and poor(4). Compared with the olecranon osteotomy approach, the bilateral triceps approach and the double plate fixation in treatment of had better clinical effect( P<0.01). [Conclusion] The bilateral triceps approach and double plate fixation with smal trauma, simple placed in internal fixation, satisfactory fixation, as wel as early functional exercises, can lead to good clinical results.