肱骨远端关节内粉碎性骨折的内固定治疗

目的：探讨复杂的肱骨远端关节内粉碎性骨折的治疗，方法：35例肱骨远端关节内粉碎骨折，分别采用双张力带内固定29例和“Y形”钢板内固定6例，骨折按AO／ASIF分型，C1型12例，C2型14例，C3型9例，术后1周开始早期功能锻炼，结果：所有35例病人均获得随访，随访时间9－17个月，平均13个月，按Aitken和Rorabeek标准进行功能评定，结果显示，优17例，良12例，可4例，差2例，优良率82．9％，结论：双张力带法是治疗肱骨远端关节内粉碎性骨折比较好的选择，“Y”形钢板较适用于C1型骨折和简单的C2型骨折。

Treatment of Comminuted Fractures of Distal Humerus by Internal Fixation

Objective: To explore the treatment of complex comminuted fractures of distal humerus.Method:35 cases of comminuted fractures of distal humerus were treated by open reduction and internal fixation with double tension-band and Y shaped plate.By the classification of AO/ASIF,12 were classified as C1 type,14 as C2 type and the remaining 9 as C3 type.Early exercises were performed after operation.Result:All the 35 cases were followed up for 9 to 17 months(average 13 months).The patients were evaluated using the criteria of Aitkien and Rorabeek.Excellent and good results were achieved in 29 cases(82.9%).Conclusion:Double tension band is a better choice in treatment of fractures of distal humerus,while Y shaped plate is of suitable for C1 type and simple C2 fractures.