CAJ | 학술논문

目的：探讨延期切开复位内固定并选择性植骨治疗 C3型成人肱骨髁间骨折临床效果。方法对28例C3型成人肱骨髁间骨折患者采用延期切开复位内固定选择性植骨治疗，9例经舌形瓣入路，5例经肱三头肌内外侧联合切口入路，14例经尺骨鹰嘴截骨入路。10例骨折端有明显骨缺损，5例取自体髂骨植骨，5例选用同种异体骨植骨。术后非持重状态下渐进性早期肘关节活动练习。结果所有患者均获随访，时间18～76（36．6±2．06）个月。骨折均愈合。肘关节功能评价按 HSS 评分标准进行功能评定：优13例，良12例，可2例，差1例。2例可及1例差者分别为舌形瓣入路及肱三头肌内外侧联合入路。结论采用延期切开复位内固定选择性植骨治疗 C3型成人肱骨髁间骨折疗效满意。
목적：탐토연기절개복위내고정병선택성식골치료 C3형성인굉골과간골절림상효과。방법대28례C3형성인굉골과간골절환자채용연기절개복위내고정선택성식골치료，9례경설형판입로，5례경굉삼두기내외측연합절구입로，14례경척골응취절골입로。10례골절단유명현골결손，5례취자체가골식골，5례선용동충이체골식골。술후비지중상태하점진성조기주관절활동연습。결과소유환자균획수방，시간18～76（36．6±2．06）개월。골절균유합。주관절공능평개안 HSS 평분표준진행공능평정：우13례，량12례，가2례，차1례。2례가급1례차자분별위설형판입로급굉삼두기내외측연합입로。결론채용연기절개복위내고정선택성식골치료 C3형성인굉골과간골절료효만의。
Objective To investigate the clinical efficacy of open reduction and internal fixation and selective bone grafting in the treatment of AO type C3 adult humerus condyle fracture.Methods 28 cases with type C3 adult hu-merus condyle fracture were treated by open reduction and internal fixation and selective graft after improvement of soft tissue conditions.9 cases were used by the ligulae valve into the road,triceps inside and outside the joint inci-sion approach in 5 cases,14 cases by ulna olecranon osteotomy.10 cases of fracture had obvious bone defect,and 5 patients got autogenous iliac bone graft,5 cases got allogenic bone graft.Postoperative early elbow movement was not overweight condition progressive practice.Results All cases were followed up for 18 ~76 (36.6 ±2.06)months. Fractures were healed.Elbow function evaluation according to HSS scoring criteria for functional assessment,excellent in 13 cases,good in 12 cases,fair in 2 cases,poor in 1.2 cases of fair and poor in 1 case could be respectively used approach.Conclusions The open reduction and internal fixation and selective bone grafting can achieve good clini-cal efficacy in the treatment of type C3 adult humerus condyle fracture.