CAJ | 학술논문

目的结合肱骨远端解剖特点,分析双钢板治疗粉碎性骨折的合理性及其疗效.方法对16例肱骨远端粉碎性骨折患者(按AO分类:C2.1型6例,C2.2型3例,C3.1型5例,C3.2型2例),采用鹰嘴截骨入路切开复位,双钢板内固定术.结果全部患者获得随访,时间为15 ～ 25个月,平均18.5个月.按Cassebaum肘关节功能评价标准进行评估:优5例,良8例,一般3例；优良率为81.3％.结论双钢板固定肱骨远端粉碎性骨折内外侧柱,稳定性好,肘关节功能恢复满意.
목적 결합굉골원단해부특점,분석쌍강판치료분쇄성골절적합이성급기료효.방법 대16례굉골원단분쇄성골절환자(안AO분류:C2.1형6례,C2.2형3례,C3.1형5례,C3.2형2례),채용응취절골입로절개복위,쌍강판내고정술.결과 전부환자획득수방,시간위15 ～ 25개월,평균18.5개월.안Cassebaum주관절공능평개표준진행평고:우5례,량8례,일반3례；우량솔위81.3％.결론 쌍강판고정굉골원단분쇄성골절내외측주,은정성호,주관절공능회복만의.
Objective To evaluate the rationale and clinical outcomes of dual-plate fixation for treatment of comminuted fractures of the distal humerus based on its anatomical characteristics.Methods Sixteen cases of comminuted fractures of the distal humerus were treated with dual-plate fixation via an olecranonectomy approach.According to AO classification there were 6 cases of type C2.1 fractures,3 cases of type C2.2,5 cases of type C3.1 and 2 cases of type C3.2.Results All cases were follow-up for 15 to 25 months (average 18.5 months).The results were assessed using the Cassebaum scoring system and graded as excellent in 5 cases,good in 8 cases,and fair in 3 cases.The satisfactory rate of elbow function was 81.3％.Conclusion Dualplate fixation can reliably fix the medial and lateral columns of the distal humerus to maintain stability and restore satisfactory elbow function.