国际外科学杂志
國際外科學雜誌
국제외과학잡지
International Journal of Surgery
2015年
8期
529-532
,共4页
齐勇%黎飞猛%林周胜%周晓忠%孙鸿涛
齊勇%黎飛猛%林週勝%週曉忠%孫鴻濤
제용%려비맹%림주성%주효충%손홍도
肱骨骨折%Bryan-Money入路%解剖锁定接骨板%治疗应用%肘关节
肱骨骨摺%Bryan-Money入路%解剖鎖定接骨闆%治療應用%肘關節
굉골골절%Bryan-Money입로%해부쇄정접골판%치료응용%주관절
Humeral fractures%Bryan-Morrey approach%Anatomic locking plate%Therapeutic uses%Elbow joint
目的 探讨Bryan-Morrey入路结合解剖锁定钢板固定治疗肱骨远端C型骨折的安全性、有效性及临床疗效.方法 前瞻性分析201 1年3月-2014年8月采用后侧Bryan-Morrey入路结合解剖锁定接骨板治疗肱骨远端C型骨折的33例患者临床资料,平均年龄(37.3±4.1)岁,术后随访6 ～ 25个月,平均(12.3±2.8)个月,记录并分析患者肘关节Mayo肘关节功能评分、肘关节屈伸活动度以及屈伸肘关节肌力情况,并采用SPSS 13.0进行统计学分析.结果 本组中除5例出现尺神经感觉功能部分损伤症状外,无其他严重并发症,无骨不连、肱三头肌肌腱断裂以及感染等病例,末次随访时,肘关节屈伸活动肌力无明显减低,肘关节屈曲平均(134.5°±10.1°),伸直平均(-11.5°±8.1°),按照Mayo肘关节功能评分,肘关节功能评分平均(86.2±7.8)分,优良率84％.结论 采用后侧Bryan-Morrey入路结合解剖锁定接骨板固定是治疗肱骨远端C型骨折的良好选择.
目的 探討Bryan-Morrey入路結閤解剖鎖定鋼闆固定治療肱骨遠耑C型骨摺的安全性、有效性及臨床療效.方法 前瞻性分析201 1年3月-2014年8月採用後側Bryan-Morrey入路結閤解剖鎖定接骨闆治療肱骨遠耑C型骨摺的33例患者臨床資料,平均年齡(37.3±4.1)歲,術後隨訪6 ～ 25箇月,平均(12.3±2.8)箇月,記錄併分析患者肘關節Mayo肘關節功能評分、肘關節屈伸活動度以及屈伸肘關節肌力情況,併採用SPSS 13.0進行統計學分析.結果 本組中除5例齣現呎神經感覺功能部分損傷癥狀外,無其他嚴重併髮癥,無骨不連、肱三頭肌肌腱斷裂以及感染等病例,末次隨訪時,肘關節屈伸活動肌力無明顯減低,肘關節屈麯平均(134.5°±10.1°),伸直平均(-11.5°±8.1°),按照Mayo肘關節功能評分,肘關節功能評分平均(86.2±7.8)分,優良率84％.結論 採用後側Bryan-Morrey入路結閤解剖鎖定接骨闆固定是治療肱骨遠耑C型骨摺的良好選擇.
목적 탐토Bryan-Morrey입로결합해부쇄정강판고정치료굉골원단C형골절적안전성、유효성급림상료효.방법 전첨성분석201 1년3월-2014년8월채용후측Bryan-Morrey입로결합해부쇄정접골판치료굉골원단C형골절적33례환자림상자료,평균년령(37.3±4.1)세,술후수방6 ～ 25개월,평균(12.3±2.8)개월,기록병분석환자주관절Mayo주관절공능평분、주관절굴신활동도이급굴신주관절기력정황,병채용SPSS 13.0진행통계학분석.결과 본조중제5례출현척신경감각공능부분손상증상외,무기타엄중병발증,무골불련、굉삼두기기건단렬이급감염등병례,말차수방시,주관절굴신활동기력무명현감저,주관절굴곡평균(134.5°±10.1°),신직평균(-11.5°±8.1°),안조Mayo주관절공능평분,주관절공능평분평균(86.2±7.8)분,우량솔84％.결론 채용후측Bryan-Morrey입로결합해부쇄정접골판고정시치료굉골원단C형골절적량호선택.
Objective To study the clinical efficacy and safety of Bryan-Morrey approach combined with anatomic locking plate fixation for the treatment of type C fractures of distal humerus.Methods Performed a prospective study from from Mar.2011 to Aug.2014.Thirty-three cases of distal humerus fracture were included in our study,and the mean age was (37.3 ±4.1) years old.The fracture type of distal humerus was 13-C according to Mayo classification.All the fractures treated with a Bryan-Morrey approach and anatomic locking plates.In the follow-up,Mayo scores of elbow,measurement of range of motion,elbow flexion and extension muscle strength were recorded and analysed.Results In this study,there were no serious complications,such as nonunion,rupture of triceps tendon and the infection,except partial sensory function injury of ulnar nerve in 5 cases.At the last time of the follow-up,elbow flexion muscle strength and extension muscle strength did not significantly decreased significantly compared with strength of the normal side.The mean flexion of the injured side was (134.5 ± 10.1) degrees,and the mean extension was (-1 1.5 ± 8.1) degrees.According to Mayo elbow performance score,the average scores of elbow was (86.2 ± 7.8),84％ of the patients got excellent or very excellent function results.Conclusion The Bryan-Morrey approach combined with anatomic locking plate fixation is a good choice for the treatment of distal humerus fractures of AO C type.
