肱骨远端解剖钢板治疗肱骨中下段骨折的临床分析

目的探讨肱骨远端解剖钢板治疗肱骨中下段骨折的效果。方法采用肱骨远端解剖钢板行内固定治疗32例，术后随访4—7个月，平均5个月。采用改良Cassebaum评分系统评价术后患肢功能。结果术后x线片示解剖复位28例，功能复位4例，固定位置良好，全部骨性愈合；患肢功能评分：优28例，良4例，优良率100％。结论采用肱骨远端解剖钢板治疗肱骨中下段骨折固定牢固，可进行早期功能锻炼，术后并发症少，疗效满意。

Clinical analysis of anatomical plate for treating distal humeral fracture

Objective To observe the clinical effect of anatomical plate on distal humeral fractures.Methods Totally 32 cases had distal humerus fixation with anatomical plate-line.Patients were followed up for 4～7 months with an average of 5 months.Postoperative function of affected limbs was evaluated by modified Cassebaum scoring system.Results According to postoperative X-ray film,28 cases got anatomical reduction,4 cases got functional reduction.All affect limbs got bony union.According to modified Cassebaum scoring system,28 cases were excellent,4 cases were good.Conclusions Anatomical plate is effect for treating distal humeral fracture.Patients treated by anatomical plate can get an early functional exercise after operation,which shows few post-operative complications and a satisfying therapeutic effect.