成人创伤后肘内翻畸形的矫形与双柱固定效果分析

目的 分析评价肱骨髁上骨折后肘内翻双柱固定治疗的效果.方法 回顾性分析2010年1月～2012年1月手术治疗的30例成人创伤后肘内翻畸形患者的临床资料.结果 初发组术后关节屈伸功能角度改变为（123.11±3.98）°;复发组术后屈伸角度功能改变为（139.45±7.94）°.Flynn评分：初发组优4例,良0例,可0例,差2例;复发组优21例,良0例,可2例,差1例;初发组和复发组患者肘关节功能Flynn评分比较,差异有统计学意义（P＜0.05）,A组和C组患者肘关节功能Flynn评分比较,差异有统计学意义（P＜0.05）.结论 双柱固定治疗成人创伤后肘内翻畸形,肘关节功能恢复满意,早期治疗效果更令人满意.

Analysis of effect of orthopedic and double column fixation for post-trau- matic cubitus varus in adults

Objective To investigate the clinical effect of orthopedic and double column fixation for cubitus varus after humeral supraeondylar fracture. Methods The clinical data of 30 adult patients of post-traumatic cubitus varus with surgical treatment were analyzed retrospectively in our hospital from January 2010 to January 2012. Results The post- operative flexion and extension functions angle change of primary group was （123.11-＋3.98）~;The postoperative flexion and extension functions angle change of recurrent group was （139.45＋7.94）~.The excellent in 4 cses,good in 0 case,fair in 0 case and poor in 2 cases,according to criteria of Flynn in the primary group,and there 21 cases were excellent,0 case was good,2 cases was fair and 1 case was poor,according to criteria of Flynn in the recurrent group,the difference was statistically significant （P〈0.05）,the elbow Flynn score of group A and C were compared,the difference was statistically significant （P〈0.05）. Conclusion Double column fixation in the treatment of post-traumatic eubitus varus in adults has satisfactorily recovery of joint function,and early treatment is more satisfactory.