解剖型双钢板内固定治疗肱骨远端C型骨折

目的探讨应用解剖型双钢板技术治疗肱骨远端C型骨折的临床疗效。方法 2007年6月至2010年5月应用解剖型双钢板内固定技术治疗肱骨远端C型骨折13例,其中C1型7例,C2型4例,C3型2例。观察手术治疗效果。结果所有患者均获得3~15个月(平均7.2个月)随访,骨折均一期愈合。愈合时间9~17周,平均12.7周,无一例患者出现内固定松动及骨折再移位。所有患者按肘关节功能评分(M eps)标准评定:优5例,良6例,可2例,优良率84.6%。结论应用解剖型双钢板内固定技术治疗肱骨远端C型骨折可以获得早期坚强的内固定,术后可尽早功能锻炼,有利于肘关节功能恢复,疗效满意。

Treatment of type-C fractures of distal humerus with anatomic double-plate internal fixation

Objective To study the clinical effect of anatomic double - plate internal fixation in treatment of type - C fractures of distal humerus. Methods Thirteen cases of distal humerus fracture type - C underwent open reduction and internal fixation with anatomic double plate, including 7 cases with type - C1,4 with type - C2 and 2 with type - C3. Results All these cases were followed up for 3 to 15 months with an average of 7.2 months. The fractures in all cases reached healing by first intention, the healing time was from 9 to 17 weeks with average of 12.7 weeks. There was no loosening of internal fixation and fracture displacement occurred in these patients. According to Mago elbow performance score （ Meps ）, there was excellent in 5 cases, good in 6, common in 2, and the excellent and good rate was 84.6%. Conclusion Treatment of type - C fractures of distal humerus with anatomic double - plate internal fixation can get strong early fixation, and it allows early postoperative functional exercise for the early recovery of elbow joint function, thus its effectiveness is very satisfactory.