肘外侧入路治疗肱骨髁间骨折

目的评价肘外侧切口入路内固定治疗肱骨髁间骨折的临床疗效。方法32例肱骨髁间骨折患者，按骨折AO／ASIF分型为：c1型17例，c2型9例，c3型6例，采用肘外侧切口入路内固定治疗，应用克氏针、钢板或螺丝钉作骨折内固定。结果随访6-18月，平均10个月，骨折全部愈合，愈合时间平均4．5个月。优21例，良6例，可4例，差1例，优良率84．3％。结论肘关节外侧人路治疗肱骨髁间骨折，不损伤伸肘装置，是一种疗效较好的方法，配合早期主动功能锻炼，能最大程度恢复肘关节的功能。

Elbow lateral approachs treatment for humerus intercondylar bone fracture

Objective To appraise the clinical curative effect of elbow lateral operative approach internal fix- ation treatment for humerus intercondylar bone fracture. Methods Thirty - two case of humerus imereondylar bone fracture , according to bone fracture AO/ASIF classification： The C1 17 cases, the C2 9 cases,and the C3 6 cases, received the elbow lateral approach internal fixation treatment, using the Kirschner wire, the steel plate or the screw to make the bone fracture fixed. Results Followed - up time was ranging from 6 to 18 months, the average was 10 months, the bone united completely, average 4.5 months. There were 21 excellent cases, 6 good cases, fair 4 cases and 1 bad case, The excellent and good rate was 84. 3%. Conclusion The elbow joint lateral approach internal fixa- tion treatment for humerus intercondylar bone fracture, which does not damage the extension of the elbow installment, is an effective method. The coordination with early function exercise, can restore the elbow joint function to the grea- test.