AO双接骨板系统治疗肱骨髁间骨折

目的探讨尺骨鹰嘴截骨入路AO双接骨板系统治疗肱骨髁间骨折的方法和临床效果。方法采用尺骨鹰嘴截骨入路AO双接骨板系统治疗27例肱骨髁间骨折患者。观察术后骨折愈合情况、临床疗效、并发症情况。结果患者均获随访,时间6～24个月,骨折全部愈合,愈合时间4～6个月。术后1周切口感染1例,骨化性肌炎(BrookⅠ度)2例。无尺神经损伤、接骨板螺钉断裂等情况。肘关节功能根据Cassebaum评分系统:优8例,良14例,可3例,差2例。结论尺骨鹰嘴截骨能为肱骨髁间骨折手术提供满意的术野暴露,而双接骨板系统能提供足够坚强的稳定性,是治疗肱骨髁间骨折安全有效的方法,临床疗效满意。

Treatment of intercondylar fracture of humerus with AO double plate

Objective The aim of this study was to discuss the operate method and clinic effects by using double plates via osteotomy of olecranon for treatment of intercondylar fractures of the distal humerus.Methods 27 cases of intercondylar fractures of the distal humerus patients were treated with double plates via osteotomy of olecranon.Analysis on the following aspects: preoperative healed time,clinical effects and complications.Results All fractures were followed up from 6 months to 24 months.All cases were healing up from 4 months to 6 months,1 case got infection after 1 week.2 cases got Myositis ossificans.No case was hurt with ulnar nerve in operation,no plate or screw were broken.According to Cassebaum scores: 8 patients had an excellent and 14 had good outcome,3 patients had a fair outcome and 2 patients had a poor result.Conclutions Internal fixation with double plates via osteotomy of olecranon is an effective and safe method to treat intercondylar fractures of the distal humerus.It can provide fully exposure and enough stable fixation for the fractures.