Y形解剖锁定钢板固定治疗肱骨远端骨折

目的 评定肱骨远端骨折Y形锁定钢板内固定的使用方法及临床治疗效果.方法 本院骨科2009-06至2012-02使用Y形锁定钢板治疗肱骨远端骨折26例,按内固定研究协会（AO）分型：A型1例,B型8例,C型17例.结果 26例患者获得9～18个月（平均13个月）随访,按Cassebaum评分系统评定.优16例,良8例,可1例,差1例,优良率92%.结论 Y形锁定钢板内固定治疗肱骨远端粉碎骨折,低位的关节面的粉碎性骨折以及合并骨质疏松的肱骨远端骨折均能够达到满意的稳定固定,使关节活动功能得到尽早改善,有效地防止了关节粘连和僵直,疗效可靠.

Effecacy analysis of distal humeral intercondylar fractures treated with Y-type locking plate

Objective To study the effecacy of the humeral intercondylar fractures treated by surgical treatment. Methods From June 2009 to February 2012, 26 cases of humeral intercondylar fractures were Y - type locking plate, According AO/ASIF CLAS- SIFICATION typeA ： 1 typeB ：8 typeC ： 17. Results Twenty - six cases were followed up for 9 - 18 months and the average time was 13 months. According to the Cassebaum scoring system, the effects were evaluated as excellent in 16, good in 8, fair in 1 ,and poor in 1 , and the excellent - good rate was 92%. Conclusions Y - type locking plate provides an anatomic reduction and stable fixation and fe- wer complications so that the functional exercises can be started as early as possible.