CAJ | 학술논문

目的：总结评价双钢板治疗成人肱骨远端粉碎性骨折的疗效。方法选取C型肱骨远端骨折28例患者，运用内外髁双钢板固定，用内、外髁解剖钢板固定髁上骨折，两钢板呈90°角。结果本组28例均获得随访，随访时间平均26个月(12~34个月)，骨折全部愈合，无延迟愈合或不愈合情况发生。对患者的肘关节活动度采用Cassebaum评分：优9例，良14例，中4例，差1例；对患者主观的总体评价采用Morrey-Chao评分：优16例，良11例；骨折愈合时间平均10周。结论切开复位双钢板治疗成人肱骨远端骨折能达到良好的临床疗效；外科医生的经验、偏好及患者的个体性可能决定钢板的放置。
목적：총결평개쌍강판치료성인굉골원단분쇄성골절적료효。방법선취C형굉골원단골절28례환자，운용내외과쌍강판고정，용내、외과해부강판고정과상골절，량강판정90°각。결과본조28례균획득수방，수방시간평균26개월(12~34개월)，골절전부유합，무연지유합혹불유합정황발생。대환자적주관절활동도채용Cassebaum평분：우9례，량14례，중4례，차1례；대환자주관적총체평개채용Morrey-Chao평분：우16례，량11례；골절유합시간평균10주。결론절개복위쌍강판치료성인굉골원단골절능체도량호적림상료효；외과의생적경험、편호급환자적개체성가능결정강판적방치。
Objective To evaluate the clinical effect of dual-plate for treatment of comminuted distal humerus fractures in adult. Meth-ods 28 patients with distal humeral fractures were treated with condylar anatomical plate interal fixation. The supracondylar fracture was fixed with condylar anatomical plating, and the two plates were kept in 90°with each other. Results The 28 cases were followed up average-ly 26 months (12 to 34 months). All fractures healed and there was no delayed union or nonunion cases. According to Cassebaum scoring system, there were 9 cases of excellent,14 cases of good, 4 cases of moderate and 1 case of bad. According to Morrey-Chao scoring system, there were 16 cases of cases,11 cases of good. The average time of bone healing was 10 weeks. Conclusion In treatment of comminuted distal humerus fractures in adult, open reduction and dual-plate internal fixation can get good clinical results. The placement of the dual-plate may depend on surgeon experience and preference and the fracture pattern present.