双克氏针张力带组合固定治疗肱骨髁间骨折

目的：探讨治疗肱骨髁间骨折的新型手术固定方式。方法：采用经鹰嘴截骨入路、双克氏针张力带组合固定法治疗13例肱骨髁间骨折，并进行随访、总结。结果：本方法成功地应用于多种类型的移位、粉碎肱骨髁间骨折．随访7个月-2年，平均13个月，按Cassebaum标准，优6例，良3例，可2例，2例失访。平均骨折愈合时间11．2周。结论：双克氏针张力带固定法肱骨髁间骨折具有简单、方便、损伤小等优点，固定可靠，可作为该骨折固定方式。

Double Kirshenes Pins Combined with Wire Tension Band Fixation in Humerus Intercondylar Fracture

Objective: To discuss the new method of fixation in humerus intercondylar fracture. Methods: Thirteen patients with intercondylar fractures of the humerus were treated with cancellou screws for the condylar metaphysis, double Kirshenes pins and double tension band for fixation. Follow-up and sum-up were performed. Results: This method was successfully used in many kinds of replacements and humerus intercondylar fractures. All patients were followed up for 7 months-2 years with an average of 13 months. The elbow function was assessed by the Cassesbaun's rating system including excellent 6, good 3, fair 2 and missed 2. The average time of consolidation was 11.2 weeks. Conclusion: Double Kirshenes pins combined with wire tension band fixation in humerus intercondylar fracture is easy, convenient, less damage and stable, and it can be used as fixation method in fracture.