不同内固定方法在肱骨髁间粉碎性骨折治疗中的对比分析

目的：探讨三种不同手术方式治疗肱骨髁间粉碎性骨折临床效果,以期寻找最佳的手术方法,提高临床治疗水平。方法选取2010年1月~2014年1月间收入的50例肱骨髁间粉碎性骨折患者为研究对象,分成三组,A组予交叉克氏针内固定,B组予Y型解剖钢板内固定,C组予AO重建钢板内固定,比较三组术后临床效果。结果在肘功能恢复上, A组总有效率为62.5%、B组总有效率为89.47%、C组总有效率为60%；在总临床效果上, A组总有效率为56.25%、B组总有效率为89.47%、C组总有效率为53.33%, B组和其他两组比较差异有统计学意义（P〈0.05）, A组和C组比较差异无统计学意义（P〉0.05）。结论 Y型解剖钢板内固定治疗肱骨髁间粉碎性骨折临床效果满意。

Comparative analysis of different internal fixation methods in the treatment of intercondylar comminuted fracture of humerus

Objective To observe the clinical effect of three operations. Methods In the treatment of intercondylar comminuted fracture of humerus, for seeking the best operation method and improving the clinical treatment level. Methods 50 cases with intercondylar comminuted fracture of humerus treated from January 2010 to January 2014 were selected as research objects and were divided into three groups. group A was treated with internal fixation of cross Kirschner, group B was treated with internal fixation of Y-type anatomic plate, and C group was treated with internal fixation of AO reconstruction plate. The clinical effect of three groups was compared. Results For recovery of elbow function, the total effective rate of A group was 62.5%, that of B group was 89.47%and that of C group was 60%. For clinical effect, the total effective rate was 56.25%, that of B group was 89.47%and that of C group was 53.33%. The evident difference between B group and the other two groups has statistical significance（P〈0.05）. And there was no statistical significance for the difference between A group and C group（P〉0.05）. Conclusion Internal fixation of Y-type anatomic plate in the treatment of intercondylar comminuted fracture of humerus has evident clinical effect.