CAJ | 학술논문

目的评价平行双钢板双柱固定技术重建成人肱骨远端粉碎性骨折的手术效果.方法 2006年10月至2009年10月,采用切开复位平行双钢板双柱固定技术治疗成人肱骨远端粉碎性骨折20例,受伤至手术时间平均2d,手术采用肘后正中切口,术后3d开始保护性功能锻炼.所有患者按照Mayo肘关节功能评分(MEPS)评价,影像学检查评价内固定及骨折愈合情况.结果 20例患者均获随访,时间(18.4±2)个月.X线证实骨折均一期愈合,无伤口感染及神经损伤并发症,无短缩和旋转畸形,无内固定失败.术后1年随访MEPS中位分数86分,优良率85.3％.结论平行双钢板双柱内固定治疗肱骨远端复杂骨折可实现骨折早期稳定固定,有助于患肢早期功能锻炼及关节功能的恢复.
목적 평개평행쌍강판쌍주고정기술중건성인굉골원단분쇄성골절적수술효과.방법 2006년10월지2009년10월,채용절개복위평행쌍강판쌍주고정기술치료성인굉골원단분쇄성골절20례,수상지수술시간평균2d,수술채용주후정중절구,술후3d개시보호성공능단련.소유환자안조Mayo주관절공능평분(MEPS)평개,영상학검사평개내고정급골절유합정황.결과 20례환자균획수방,시간(18.4±2)개월.X선증실골절균일기유합,무상구감염급신경손상병발증,무단축화선전기형,무내고정실패.술후1년수방MEPS중위분수86분,우량솔85.3％.결론 평행쌍강판쌍주내고정치료굉골원단복잡골절가실현골절조기은정고정,유조우환지조기공능단련급관절공능적회복.
Objective To assess the effects of parallel-double-plate internal fixation on distal humeral comminuted fracture in adults.Methods Twenty consecutive adults with distal humeral comminuted fracture who received open reduction and internal fixation with parallel-double-plating at day 2 following bone facture between October 2006 and October 2009 were enrolled.Posterior elbow median incision was adopted for surgery.The functional exercise program commenced at day 3 postoperatively.The function of elbow was assessed by Mayo elbow performance score (MEPS),and the internal fixation and fracture healing by plain X-ray films.Results The 20 patients were followed up for 12 to 36 months [mean (18.4±2.0) months].Neither infection of incisions,nor nerve injury,or deformity of shortening,rotation,or implantation failure were found.The median MEPS was 86 points and the overall excellence rate was 85.3％ in the first year of follow-up.Conclusion The parallel-double-plate technique may facilitate early-stage solid fixation of distal humeral comminuted fracture and promote postoperative functional exercise of the affected extremity and joint rehabilitation.