内固定法治疗肘关节骨折

目的:探讨内固定方法治疗肘关节骨折的疗效。方法:对10例肘关节骨折进行回顾性分析,其中男9例,女1例,新鲜骨折6例,陈旧骨折4例;开放性骨折4例,闭合性骨折6例。开放性骨折中有3例常规清创后采用内固定术或内固定术;加进皮瓣术,1例待伤口愈合按闭合性骨折处理。全部病例分别采用张力带,张力带加螺钉内固定,螺钉内固定。结果:平均随访8个月,伤口均一期愈合,骨愈合时间为3～4个月,新鲜骨折康复后的平均总活动度为伸屈-4.2度～144.2度,陈旧骨折平均总活动度为伸屈-31.3～115度,前臂旋转无受限。结论:肘关节内骨折应早期手术同时做到解剖复位,坚强内固定,并行早期功能锻炼。

Internal fixation for fracture of the elbow joint

Objective:To study the therapeutic effect of internal fixation in the treatment of fresh and old fractures of the elbow joint.Methods:Ten cases of fracture of the elbow joint with complete data were reviewed;9 of them were male and 1 female,their average age was 31 years;6 of then were the Hans and 4 Tibetans.Four cases were openfracture and 6 cases closed fvacture.Among the cases of open fracture,3 cases were treated with internal fixation of the fragments or internal fixation plus advanced skin flaps after the routine debridement,one cases was treated in closed fracture were treated with single tension band wiring or tension band plus internal fixation with screws or internal fixation with screws.Results:The mean time of the follow up was 8 months,all cases were healed by first intention,the time of fracture healing was 3 to 4 months.The range of extentiom-flexion movement in fresh fracture of the elbow and forearm was-4.20 to 144.2o;it was-31.3o to 1150 in the old fracture cases without restriction in pronation and supination.Conclusion:The intra-articular fractur of the elbow joint must be treated with early surgery to attain an atomical reduction by firm internal fixation.Early functional exercise is also important for the recovery.