CAJ | 학술논문

目的：探讨双钢板治疗肱骨髁间粉碎性骨折的方法及疗效。方法：采用双钢板治疗肱骨髁间粉碎性骨折25例，术后均早期进行功能锻炼，定期复查X线片，观察骨折愈合情况。结果：25例患者均获得随访，随访时间9~16个月，优12例，良9例，可4例，优良率84%，无切口感染、尺神经损伤、骨折不愈合等并发症发生。结论：应用双钢板治疗肱骨髁间粉碎性骨折能够获得坚强固定，术后可以早期进行功能锻炼，肘关节功能恢复满意。
목적：탐토쌍강판치료굉골과간분쇄성골절적방법급료효。방법：채용쌍강판치료굉골과간분쇄성골절25례，술후균조기진행공능단련，정기복사X선편，관찰골절유합정황。결과：25례환자균획득수방，수방시간9~16개월，우12례，량9례，가4례，우량솔84%，무절구감염、척신경손상、골절불유합등병발증발생。결론：응용쌍강판치료굉골과간분쇄성골절능구획득견강고정，술후가이조기진행공능단련，주관절공능회복만의。
Objective:To investigate the double plate in treatment of comminuted humeral intercondylar fractures of the method and the curative effect. Methods:the treatment of comminuted humeral intercondylar fracture of 25 cases with double plate, early postoperative functional exercise, regular X-ray film, to observe the fracture healing. The pa-tients were followed up for 9-16 months, average 13.4 months, with Cassebaum scoring system to evaluate the postop-erative elbow joint function. Results:25 cases were followed up, the follow-up time was 9-16 months, 12 cases were excellent, good in 9 cases, 4 cases, the excellent and good rate was 84%, no wound infection, nonunion of ulnar nerve injury, complication. Conclusion:the treatment of double steel plate of intercondylar comminuted fracture of humerus can obtain rigid fixation, early postoperative functional exercise, and satisfactory functional recovery of elbow joint.