Y型钢板内固定治疗肱骨髁粉碎性骨折

目的：观察Y型钢板治疗肱骨髁粉碎性骨折的效果。方法：采用Y型钢板治疗肱骨髁粉碎性骨折15例，术后随访12～40个月，平均30个月。采用改良Cassebaum评分系统评价术后肘关节功能。结果：优4例，良7例，可4例，优良率73．7％，无骨折不愈合、刀口感染等并发症发生。结论：用Y型钢板治疗肱骨髁粉碎性骨折，复位满意，固定牢固，可进行早期功能锻炼，肘关节术后功能恢复满意。

Comminunated humeral condyls fracture treated with Y-type plates fixation

Objective:To study the results of patients with humeral condyls fractures treated with open reduction and Y-type plates.Methods:Fifteen patients with humeral condyles fracture were treated with open reduction and Y-type plates fixation.All patients were followed up for an average of30months(ranging from12to40months)and evaluated with modified Cassebaum rating system.Results:Four were rated as excellent,7as good,4as fair.The rate of the excellent and good was73.7%.No complications of nounion and infection occurred.Conclusion:In the treatment of the comminuated humeral condyls fracture with Y-type plates fixation,rigid fixation,anatomical reduction,early exercise,and satisfactory function of elbow can be achieved.