应用解剖型双钢板结合尺骨鹰嘴关节外斜行截骨治疗RiseBoroughⅡ、Ⅲ型肱骨髁间骨折
摘要
目的探讨论经尺骨鹰嘴关节外斜行截骨结合解剖型双钢板治疗RiseBoroughⅡ、Ⅲ型肱骨髁间骨折的方法和临床疗效。方法选取2012年7月—2016年7月我院收治的56例RiseBoroughⅡ、Ⅲ型肱骨髁间骨折患者,均采用经尺骨鹰嘴关节外斜行截骨入路解剖型双钢板治疗肱骨髁间骨折。结果术后56例骨折均解剖复位,56例随访时间6~20个月,骨折愈合时间8~13周,术后感染2例,骨化性肌炎3例。根据Cassebaum法评定肘关节功能,优43例,良9例,可2例,差2例,优良率91.1%。结论经尺骨鹰嘴关节外斜行截骨结合解剖型双钢板治疗RiseBoroughⅡ、Ⅲ型肱骨髁间骨折效果良好,既充分暴露骨折,又减少对鹰嘴关节面的破坏,最大限度恢复肘关节功能。
引文
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[10]张炯豪,杜茂信,彭程,等.尺骨鹰嘴V形截骨与斜行截骨治疗肱骨髁间C型骨折[J].临床骨折杂志,2017,20(2):239-341
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[12]杨秋军,孙国栋.经尺骨鹰嘴截骨手术入路治疗C3型肱骨髁间骨折[J].中国煤炭工业医学杂志.2015,18(3):420-422
[2]王友华,刘璠,周振宇,等.三种内固定方法治疗肱骨髁间粉碎性骨折的疗效比较[J].中华创伤骨科杂志,2006,8(8):701-705
[3]白煜.成人肱骨远端骨折治疗进展[J].中国骨与关节外科,2012,5(5):452-456
[4]林本丹,钟志刚,邱雪立,等.38例肱骨髁间骨折的治疗方法及手术入路探讨[J].中华创伤杂志,2000,16(12):750-751
[5]Woods B I,Rosario B L,Siska P A,et al.Determining the efficacy of screw and washer fixation as a method for securing olecranon osteotomies used in the surgical management of intraarticular distalhumerus fractures[J].J Orthop Trauma,2015,29(1):44-49
[6]Zhang C,Zhong B,Luo C F.Comparing approaches to exposetype C fractures of the distal humerus for ORIF in elderly patients:six years clinical experience with both the triceps-sparing approachand olecranon osteotomy[J].Arch Orthop Trauma Surg,2014,134(6):803-811
[7]吕平成.鹰嘴截骨钢板固定治疗肱骨髁间骨折[J].创伤外科杂志,2016,18(9):566-567
[8]Zumstein M A,Bürki A,Massy A S,et al.Extra-articular step osteotomy of the olecranon:A biomechanical assessment[J].Clin Biomech(Bristol,Avon),2015,30(10):1043-1048
[9]罗忠纯,刘凯,宋春林,等.尺骨鹰嘴关节外截骨与关节内截骨治疗肱骨髁间骨折的疗效比较[J].华西医学,2015,30(1):26-29
[10]张炯豪,杜茂信,彭程,等.尺骨鹰嘴V形截骨与斜行截骨治疗肱骨髁间C型骨折[J].临床骨折杂志,2017,20(2):239-341
[11]周敏,苏琦,樊滔,等.尺骨鹰嘴截骨入路双钢板内固定治疗肱骨髁间骨折[J].实用骨科杂志,2016,23(1):50-53
[12]杨秋军,孙国栋.经尺骨鹰嘴截骨手术入路治疗C3型肱骨髁间骨折[J].中国煤炭工业医学杂志.2015,18(3):420-422