目的 评定肱骨远端骨折Y形锁定钢板内固定的使用方法及临床治疗效果。方法 本院骨科2009-06至2012-02使用Y形锁定钢板治疗肱骨远端骨折26例， 按内固定研究协会( AO)分型:A型1例， B型8例， C型17例。结果 26例患者获得9~18个月( 平均13个月)随访， 按Cassebaum评分系统评定。优16例， 良8例， 可1例， 差1例， 优良率92%。结论 Y形锁定钢板内固定治疗肱骨远端粉碎骨折， 低位的关节面的粉碎性骨折以及合并骨质疏松的肱骨远端骨折均能够达到满意的稳定固定， 使关节活动功能得到尽早改善， 有效地防止了关节粘连和僵直， 疗效可靠。
Abstract
Objective To study the effecacy of the humeral intercondylar fractures treated by surgical treatment. Methods From June 2009 to February 2012, 26 cases of humeral intercondylar fractures were Y-type locking plate, According AO/ASIF CLASSIFICATION typeA:1 typeB:8 typeC:17. Results Twenty-six cases were followed up for 9-18 months and the average time was 13 months.According to the Cassebaum scoring system, the effects were evaluated as excellent in 16, good in 8, fair in 1, and poor in 1, and the excellent-good rate was 92%. Conclusions Y-type locking plate provides an anatomic reduction and stable fixation and fewer complications so that the functional exercises can be started as early as possible.
关键词
肱骨远端骨折 /
Y形锁定钢板 /
内固定术
Key words
humeralintercondylar fracture /
Y-type locking plate /
interal fixation
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Cassebaum W H. Open reduction of T&Y fractures of the lower end of the humerus [J]. Tracma, 1969, 9( 11): 915-925.[2] Korner J, Lill H, Muller L P, et al. The LCP-concept in the operative treatment of distal humerus tractures-biological, biomechanical and surgical aspects [J]. Injury, 2003, 34 ( suppl2) : B20-30[3] Pollock J W, Faber K J, Athwal G S. Distal humerus fractures[J]. Orthop Clin N Am, 2008, 39: 187-200.[4] 郭志民, 林 斌, 鲍 琨, 等. 4种内固定方法治疗肱骨髁部粉碎性骨折的疗效比较[J]. 临床骨科杂志, 2005, 8( 4):309-312.[5] 邱志龙, 戴海波, 陈 实, 等. 肱骨远端C3型骨折内固定选择比较[J]. 现代中西医结合杂志, 2009, 18( 25), 3037-3038.[6] 高 伟, 吴小峰, 黄建华, 等. 几种常用肱骨远端关节内粉碎性骨折的内固定方法比较[J]. 中国骨与关节损伤杂志, 2007, 22( 7), 566-567.[7] 熊 进, 骆东山, 施鸿飞, 等. Y形钢板内固定手术治疗成人肱骨远端C型骨折[J]. 江苏医药, 2006, 32( 6), 523-524.
PDF(592 KB)
