CAJ | 학술논문

目的探讨前外侧入路内侧置板内固定治疗肱骨中远段骨折的手术方式。方法回顾分析自2008年1月~2012年1月应用前外侧入路内侧置板内固定治疗肱骨中远段骨折27例，对所有患者进行随访并评定疗效。结果本组27例患者全部获得随访，随访时间8~16个月，平均12个月，无切口感染、内固定松动断裂、骨折不愈合等并发症。根据Jupiter肘关节评分系统评价肘关节功能，优20例，良4例，可3例，优良率88.9%。结论肱骨中远段骨折采取前外侧入路内侧置板内固定操作简单，固定可靠，可避免医源性桡神经损伤，肘关节可行早期功能锻炼，避免肘关节功能障碍发生。
목적탐토전외측입로내측치판내고정치료굉골중원단골절적수술방식。방법회고분석자2008년1월~2012년1월응용전외측입로내측치판내고정치료굉골중원단골절27례，대소유환자진행수방병평정료효。결과본조27례환자전부획득수방，수방시간8~16개월，평균12개월，무절구감염、내고정송동단렬、골절불유합등병발증。근거Jupiter주관절평분계통평개주관절공능，우20례，량4례，가3례，우량솔88.9%。결론굉골중원단골절채취전외측입로내측치판내고정조작간단，고정가고，가피면의원성뇨신경손상，주관절가행조기공능단련，피면주관절공능장애발생。
Objective Discussing the way of anterolateral approach and fixing plate inside to manage mid-distal fracture of humerus.Methods There are 27 cases of mid-distal fracture of humerus managed by fixing plate inside through anterolateral approach were involved between January 2008 and January 2012,al cases were fol owed-up and analyzed retrospectively.Results Al 27 cases were fol owed-up for 8 to 16months,average 12 months.There is no complication of infection of incision,internal fixation loosening and nonunion etc.Good rate is 88.9%according to Jupiter scoring system of elbow.Conclusion It has several advantages,such as simplicity of operation,realibility of instrument,avoiding of iatrogenic radial nerve injuries and joint function disturbance.