| 肱骨远端复杂性骨折的治疗 |
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| 引用本文： | 徐志英,俞瑞传,仲荣洲. 肱骨远端复杂性骨折的治疗[J]. 中国临床医学, 2009, 16(1): 73-74 |
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| 作者姓名： | 徐志英 俞瑞传 仲荣洲 |
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| 作者单位： | 1. 上海市长宁区中心医院创伤中心,上海,200335
2. 复旦大学附属中山医院分部,上海,200052 |
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| 摘 要： | 目的：从生物力学角度探讨肱骨远端复杂性骨折的治疗情况。方法：2003年3月-2007年12月,手术治疗肱骨远端复杂性骨折23例,按A0／Asig分型,C．型9例、C2型8例、C3型6例。合并尺神经损伤6例,行尺神经前移8例。所有病例在伤后72h内施行手术。经尺骨鹰嘴截骨入路,注重关节面解剖复位和准确对位对线（尤其是对线）,AO重建钢板或加解剖钢板经塑形固定。术后1周行主、被动功能锻炼,术后6个月内不作负重活动。结果：术后均作随访,随访时间8～65个月,平均26个月。根据Mayo评定标准,优良率82．6％,C2-C3骨折优良率78．6％。结论：经尺骨鹰嘴截骨入路及用AO重建钢板或加解剖钢板固定术的暴露好、创伤小、固定牢靠,其符合生物力学固定,为早期功能锻炼打下基础。
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| 关 键 词： | 肱骨骨折 骨折内固定 |
From Biomechanical to Treatment of Complex Distal Humeral Fracture |
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| XU Zhiying,YU Ruichuan,ZHONG Rongzhou. From Biomechanical to Treatment of Complex Distal Humeral Fracture[J]. Chinese Journal Of Clinical Medicine, 2009, 16(1): 73-74 |
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| Authors: | XU Zhiying YU Ruichuan ZHONG Rongzhou |
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| Affiliation: | XU Zhiying1 YU Ruichuan2 ZHONG Rongzhou2 1. Changning District Centre Hospital,Shanghai 200335,2. Branch of Zhongshan Hospital,Fudan University,Shanghai 200052 |
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| Abstract: | Objective:From biomechanical to treatment of complex distal humeral fracture.Methods:From Mar 2003 to Dec 2007,23 cases of complex distal humeral fractures were reviewed,which involved 17 males and 6 females with an average age of 38.2 years (ranges,21-65 years). The fracture was located on right side in 10 and on left side in 13. According to AO/Asif classification,there were C1 in 9,C2 in 8 and C3 in 6 cases. Among them,7 cases were open fractures,6 case with ulnar never injury and 8 cases underwent never... |
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| Keywords: | Humeral fracture Fracture internal fixation |
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