目的 探讨尺骨鹰嘴截骨入路治疗C型肱骨髁间骨折的临床疗效。 方法 选取2015年6月至2018年6月本科应用尺骨鹰嘴截骨入路治疗肱骨髁间骨折50例，其中男23例，女27例；车祸伤17例，摔伤25例，坠落伤8例；C1型骨折12例，C2型骨折28例，C3型骨折10例；按骨折伤机制伸直型34例，屈曲型16例。外伤至手术时间平均3 d。术后随访采取Cassebaum评分系统评价肘关节功能。 结果 患者均获随访，随访时间12~18月，平均14.7月。所有病例未出现骨块移位及内固定失效，尺骨鹰嘴截骨处均得以骨性愈合。肘关节功能评价，优25例，良18例，可5例，差2例，优良率86%。 结论 尺骨鹰嘴截骨入路治疗C型肱骨髁间骨折临床效果满意。
Abstract
Objective To investigate the clinical efficacy of olecroanon osteotomy in the treatment of C-type intercondylar fracture of humerus. Methods 50 cases of humerus intercondylar fracture with treatment of olecroanon osteotomy approach were collected from June 2015 to June 2018 (male 23, and female 27). The average time from trauma to surgery was 3 days. According to the injuries caused by different accidents, 17 cases were traffic accident, 25 cases were fall off accidents, and 8 cases were fall from accidents. According to the fracture type, 12 cases of C1 fracture, 28 cases of C2 fracture and 10 cases of C3 fracture. According to the mechanism of fracture injury, 34 cases were straightened and 16 cases were buckled. The Cassebaum Score system was used to evaluate the elbow joint function during the follow-up after operation. Results All patients were followed up for 12 to 18 months, with an average of 14.7 months. No displacement of bone mass or failure of internal fixation occurred in all cases, and bony healing was observed at the site of olecranon osteotomy. Evaluation of elbow joint function as follow: excellent in 25 cases, good in 18 cases, fair in 5 cases, poor in 2 cases. Excellence rate was 86%. Conclusions The treatment of C-type intercondylar fracture of humerus by olecroanon osteotomy is satisfactory.
关键词
肱骨 /
髁间骨折 /
尺骨鹰嘴 /
截骨 /
手术入路
Key words
Humerus /
Intercondylar fracture /
Olecroanon /
Osteotomy /
Surgical approach
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