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| Y形钢板和双钢板经不同置入途径治疗肱骨髁间骨折的比较 | |
| 引用本文： | 谢志新,吴迪,虢新莲,农春花,刘桔慧,许丽芳,王健.Y形钢板和双钢板经不同置入途径治疗肱骨髁间骨折的比较[J].中国组织工程研究与临床康复,2011,15(17):3103-3108. |
| 作者姓名： | 谢志新 吴迪 虢新莲 农春花 刘桔慧 许丽芳 王健 |
| 作者单位： | 1. 南方医科大学附属深圳宝安区人民医院骨科,广东省深圳市,518101 2. 深圳宝田医院手外科,广东省深圳市,518106 3. 深圳宝安区中医院骨科,广东省深圳市,518101 |
| 摘 要： | 背景:成人肱骨裸间骨折内固定及置入途径选择对置入成功及内固定后功能有明显影响。目的:比较Y形钢板和双钢板经不同置入途径治疗肱骨髁间骨折疗效的差异。方法:纳入肱骨髁间骨折患者139例,采用Y形钢板和双钢板两种内固定方式,根据内固定方案分为4组,经尺骨鹰嘴截骨入路44例,经肱三头肌两侧入路46例,经肱三头肌舌状瓣入路27例,经肱三头肌劈开入路22例。随访3个月～2年,根据Aitken和Rorabeck肘关节功能评定标准对各组患者内固定后肘关节功能进行评定。结果与结论:双钢板在尺骨鹰嘴截骨组、肱三头肌两侧组和肱三头肌劈开组中优良率优于Y形钢板(P<0.05),而在肱三头肌舌状瓣组中优良率差异无显著性意义(P>0.05)。前3种入路的双钢板固定优良率差异无显著性意义(P>0.05),但均比肱三头肌舌状瓣入路双钢板固定优良率高(P<0.05)。提示肱骨髁间骨折双钢板固定治疗优于Y形钢板固定,尺骨鹰嘴截骨入路、肱三头肌两侧入路和肱三头肌劈开入路可获得相同的临床效果,而且它们的内固定效果均优于肱三头肌舌状瓣入路。 |
| 关 键 词： | 肱骨髁间骨折 内固定 置入途径 Y形钢板 双钢板 |
Y-shaped plate versus double plate internal fixation via different inserted ways for treatment of humeral intercondylar fractures |
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| Xie Zhi-xin,Wu Di,Guo Xin-lian,Nong Chun-hua,Liu Ju-hui,Xu Li-fang,Wang Jian.Y-shaped plate versus double plate internal fixation via different inserted ways for treatment of humeral intercondylar fractures[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(17):3103-3108. | |
| Authors: | Xie Zhi-xin Wu Di Guo Xin-lian Nong Chun-hua Liu Ju-hui Xu Li-fang Wang Jian |
| Institution: | Xie Zhi-xin1,Wu Di2,Guo Xin-lian1,Nong Chun-hua1,Liu Ju-hui1,Xu Li-fang1,Wang Jian3 1Department of Orthopedics,Shenzhen Baoan Hospital of Southern Medical University,Shenzhen 518101,Guangdong Province,China,2Department of Hand Surgery,Shenzhen Baotian Hospital,Shenzhen 518106,3Department of Orthopedics,Shenzhen Baoan Hospital of Chinese Medicine |
| Abstract: | BACKGROUND:Selection of internal fixation and inserted approach is important to the successful treatment of adult humeral intercondylar fractures.OBJECTIVE:To review the clinical outcome of Y-shaped plate internal fixation and double plate internal fixation for humeral intercondylar fractures through different operative approaches.METHODS:Open reduction and internal fixation using plate were performed in 139 cases with humeral intercondylar fracture,of which triceps splitting was carried out in 22,bilateral... |
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