2种固定方式治疗成人肱骨远端C型骨折的疗效分析

目的比较切开复位有限内固定结合外固定架固定与AO双钢板内固定治疗肱骨远端C型骨折的疗效。方法回顾性分析自2009-03—2012-03成都体育学院附属体育医院及泸州医学院附属中医医院诊治的52例肱骨远端C型骨折,包括采用切开复位有限内固定结合桡骨远端外固定架固定治疗27例（A组）,采用肱骨远端双钢板内固定治疗25例（B组）。结果所有患者术后获得随访12-36个月,平均27个月。Cassebaum评分A组优良率为81.5%,B组优良率为52.0%,A组明显优于B组,差异有统计学意义;按Mayo评分,A组平均为87分,B组为84分,2组差异无统计学意义。结论切开复位有限内固定结合外固定架固定治疗肱骨远端C型骨折效果较好,值得临床推广和应用。

Clinical analysis of two fixation methods for treatment of type C adult distal humerus fractures

Objective To compare and evaluate the curative effects of limited open reduction and internal fixation combined with external fixator and open reduction and internal fixation with AO two plates. Methods Fifty two cases of distal humerus type C fractures from Sports Hospital of Chengdu Sports University and Hospital of Traditional Chinese Medicine, affiliated to Luzhou Medical College were randomly assigned into two groups. Group A underwent open reduction and limited internal fixation combined with external frxator of distal radius bracket and group B were treated with internal fixation with two plates of the distal humerus. Results All patients were followed up for 12-36 months, an average of 27 months. In group A good rate of Cassebaum score was 81.5%, and in group B excellent and good rate was 52.0%, group A was significantly better than group B; Morry-Chao score in group A was an average of 87 points, group B for 84 points, the difference was not statistically significant. Conclusion Open reduction and limited internal fixation combined with external fixator for treatment of humeral distal type C fractures is better, and worthy of clinical application.