J4 ›› 2016, Vol. 1 ›› Issue (8): 48-50.

• 临床医学 • 上一篇    下一篇

经肱三头肌内外侧入路治疗肱骨髁上髁间骨折

  

  1. (大理大学附属医院骨二科,云南大理671000)
  • 收稿日期:2016-01-07 出版日期:2016-08-15 发布日期:2016-08-15
  • 作者简介:何宁,医师,主要从事创伤骨科研究.

Bilateral Triceps Brachii Approach in the Treatment for Humeral Supracondylar and
Intercondylar Fracture

  1. (The Second Department of Orthopedics, the Affiliated Hospital of Dali University, Dali ,Yunnan 671000,China)
  • Received:2016-01-07 Online:2016-08-15 Published:2016-08-15

摘要:

目的:探讨经肱三头肌内外侧入路治疗肱骨髁上髁间骨折手术技巧及临床疗效。方法:回顾2009年1月至2015年5月
骨科收治成人肱骨髁上、髁间骨折患者42例,采用经肱三头肌内外侧入路复位钢板内固定术治疗。结果:术后40例患者获随访,
随访时间12~18月,根据Cassebaum肘关节功能评分,优30例,良5例,可4例,差1例,优良率88%,疗效满意。结论:经肱三头肌
内外侧入路双钢板内固定治疗肱骨髁上髁间骨折,固定牢固,操作方便,创伤小,术后可早期活动关节,肘关节功能恢复良好。

关键词: 肱三头肌内外侧入路, 肱骨髁上髁间骨折, 双钢板

Abstract:

Objective: To explore the surgical skill and clinical effect of bilateral triceps brachii approach with double plates fixation
in treatment for humeral supracondylar and intercondylar fracture. Methods: 42 cases of humeral supracondylar and intercondylar
fracture treated by bilateral triceps brachii approach with double plates fixationfrom January 2009 to May 2015 were reviewed. Results:
After 12-18 months follow-up, according to the scoring system of Cassebaum, 30 cases were rated as excellent, 5 cases good, 4 cases
poor and 1 case bad. The excellent and good rates reach 88%. The clinical effect is satisfactory. Conclusion: Bilateral triceps brachii
approach with double plates fixation in treatment for humeral supracondylar and intercondylar fracture have the advantages of firm
fixation, easy operation, and less trauma, which contribute to early functioning of joints after operation and better recovery of elbows.

Key words: bilateral triceps brachii approach, humeral supracondylar and intercondylar fracture, double plates

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