CAJ | 학술논문

目的对采用新型解剖型设计的垂直双钢板与平行双钢板治疗肱骨髁间骨折进行回顾性比较研究,评价两种固定方式的临床效果.方法完整随访45例采用解剖锁定板治疗的肱骨髁间骨折患者,其中垂直双钢板固定(垂直组)26例,平行双钢板固定(平行组)19例.最终随访时采用Mayo肘关节评分(Mayo elbow performance score,MEPS)对患者进行评价,并记录所有并发症.结果所有患者肱骨髁间骨折均愈合,患侧肘关节均没有疼痛.患侧肘关节屈伸活动度平行组为(100±21)°,垂直组为(99 ±34)°.患侧前臂旋转活动度平行组为(164±12)°,垂直组为(171±16)°.平行组MEPS评分为(91±6)分,优良率为100％;垂直组MEPS评分为(91±10)分,优良率为92％ (P ＞0.05).结论解剖型平行双钢板和垂直双钢板治疗肱骨髁间骨折均有很好的临床效果.可根据骨折的形态、患者的个体情况等选择适合的内固定方式.
목적 대채용신형해부형설계적수직쌍강판여평행쌍강판치료굉골과간골절진행회고성비교연구,평개량충고정방식적림상효과.방법 완정수방45례채용해부쇄정판치료적굉골과간골절환자,기중수직쌍강판고정(수직조)26례,평행쌍강판고정(평행조)19례.최종수방시채용Mayo주관절평분(Mayo elbow performance score,MEPS)대환자진행평개,병기록소유병발증.결과 소유환자굉골과간골절균유합,환측주관절균몰유동통.환측주관절굴신활동도평행조위(100±21)°,수직조위(99 ±34)°.환측전비선전활동도평행조위(164±12)°,수직조위(171±16)°.평행조MEPS평분위(91±6)분,우량솔위100％;수직조MEPS평분위(91±10)분,우량솔위92％ (P ＞0.05).결론 해부형평행쌍강판화수직쌍강판치료굉골과간골절균유흔호적림상효과.가근거골절적형태、환자적개체정황등선택괄합적내고정방식.
Objective To retrospectively compare the clinical effect of anatomically designed perpendicular and parallel double plates in fixation of intercondylar humerus fractures.Methods A complete follow-up was made on 45 patients treated with anatonic locking plates for intercondylar humerus fractures.Among them,26 underwent perpendicular double plate fixation (perpendicular group) and 19 parallel double plate fixation (parallel group).Mayo elbow performance score (MEPS)was performed at the last follow-up.All postoperative complications were documented as well.Results All fractures were healed without joint pain in the elbow.Arc of elbow flexion and extension,arc of forearm rotation,MEPS and rate of excellent/good outcomes between parallel and perpendicular groups were (100 ± 21) °vs (99 ±34)°,(164± 12)° vs (171 ± 16)°,(91 ± 6) points vs (91 ± 10) points,100％ vs 92％,respectively (P ＞ 0.05).Conclusions Both fixation methods are effective in treatment of intercondylar humerus fractures.Additionally,the surgeons can make a choice about fixation methods based on fracture pattern and individual condition of the patients.