CAJ | 학술논문

目的：研究 Herbert 钉固定治疗肱骨远端冠状面剪切骨折的治疗效果。方法：2010年10月至2013年9月，采用 Herbert 钉固定治疗8例肱骨远端冠状面剪切骨折患者。按 Dubberley 分型，Ⅱ型3例，Ⅲ型5例。均为闭合性骨折，无合并血管及神经损伤情况。术后3个月测量患者肘关节活动度及对肘关节功能进行 Broberg-Morrey评分。结果：所有患者术后伤口愈合良好，疼痛症状好转消失，无感染情况，骨折对位良好，稳定，内固定无松动，无神经损伤并发症。术后3个月肘关节活动度平均87.5°，Broberg-Morrey 评分平均89，均为优良。结论：使用Herbert 钉固定治疗肱骨远端冠状面剪切骨折既能够对骨折块进行加压，又不会影响肘关节的运动轨迹，肘关节功能恢复满意，手术效果良好。
목적：연구 Herbert 정고정치료굉골원단관상면전절골절적치료효과。방법：2010년10월지2013년9월，채용 Herbert 정고정치료8례굉골원단관상면전절골절환자。안 Dubberley 분형，Ⅱ형3례，Ⅲ형5례。균위폐합성골절，무합병혈관급신경손상정황。술후3개월측량환자주관절활동도급대주관절공능진행 Broberg-Morrey평분。결과：소유환자술후상구유합량호，동통증상호전소실，무감염정황，골절대위량호，은정，내고정무송동，무신경손상병발증。술후3개월주관절활동도평균87.5°，Broberg-Morrey 평분평균89，균위우량。결론：사용Herbert 정고정치료굉골원단관상면전절골절기능구대골절괴진행가압，우불회영향주관절적운동궤적，주관절공능회복만의，수술효과량호。
Objective To investigate the treatment and outcome of distal humeral coronal shear fractures by using Herbert screw. Methods From October 2010 to September 2013, 8 patients with coronal shear fracture of distal humeral were surgical treated and fixed with Herbert screws. According to Dubberley classification, type II 3 cases; type III 5 cases. All are Closed fracture, without Vascular and nerve injury. 3 months after surgery, measure the range of movement and Broberg-Morrey score of elbow. Result all wound are good healing, pain symptoms disappeared, without infection. The reduction is good, and fracture are stable, without internal fixation loosening, and no neurological complication. 3 months after surgery, the average range of movement of elbow is 87.5°; and the average Broberg-Morrey score of is 89, which is excellent. Conclude: To treat the coro-nal shear fractures of the distal humerus by using the Herbert screw can obtain ideal surgerical effect such as compressing the fracture without influence the trail of elbow, satisfied recovery of elbow function.