| Y型锁定钢板置入治疗成人肱骨髁间骨折36例 |
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| 引用本文： | 程煜方,魏忠民,黄方敏,张克良,李子熙. Y型锁定钢板置入治疗成人肱骨髁间骨折36例[J]. 中国组织工程研究与临床康复, 2011, 15(43). DOI: 10.3969/j.issn.1673-8225.2011.43.042 |
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| 作者姓名： | 程煜方 魏忠民 黄方敏 张克良 李子熙 |
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| 作者单位： | 华中科技大学同济医学院附属普爱医院骨科,湖北省武汉市,430034 |
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| 摘 要： | 背景:肱骨髁间骨折是一种复杂的关节内骨折,骨折端的显露及固定均比较困难.目的:观察经尺骨鹰嘴截骨入路Y型解剖型锁定钢板治疗肱骨髁间骨折的效果.方法:采用尺骨鹰嘴截骨入路,Y型解剖型锁定钢板治疗肱骨髁间骨折36例,男22例,女14例,年龄19-76岁,平均47岁,按AO/OTA分型:C1型8例,C2型15例,C3型13例.结果与结论:32例获得随访,随访时间为10～26个月.用改良的Cassebaum评分标准评分,优15例,良13例,中3例,差1例,优良率89.6%.尺骨鹰嘴截骨入路切口无一例感染,骨折愈合时间为2.5～4.5个月,平均3.5个月.固定后钢板未出现松动现象.结果显示用尺骨鹰嘴截骨入路Y型解削型锁定钢板治疗肱骨髁间骨折,显露范围广,固定牢靠,能有效防止骨折不愈合,可指导患者早期在CPM机上进行肘关节功能锻炼,肘关节功能恢复良好,是治疗肱骨髁间骨折的有效方法.
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| 关 键 词： | 肱骨髁间骨折 尺骨鹰嘴截骨入路 Y型解剖型锁定钢板 肘关节 医学植入物 |
Y-type locking plate for intercondylar fractures of the adult hunmerus in 36 cases |
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| Cheng Yu-fang,Wei Zhong-min,Huang Fang-min,Zhang Ke-liang,Li Zi-xi. Y-type locking plate for intercondylar fractures of the adult hunmerus in 36 cases[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(43). DOI: 10.3969/j.issn.1673-8225.2011.43.042 |
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| Authors: | Cheng Yu-fang Wei Zhong-min Huang Fang-min Zhang Ke-liang Li Zi-xi |
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| Affiliation: | Cheng Yu-fang,Wei Zhong-min,Huang Fang-min,Zhang Ke-liang,Li Zi-xi Department of Orthopedics,Puai Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430034,Hubei Province,China |
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| Abstract: | BACKGROUND:Intercondylar fracture of the humerus is a kind of complex intra-articular fractures.Fracture exposure and fixation are difficult.OBJECTIVE:To explore the surgical effect of Y-type locking plate through the approach of olecranon osterotomy on intercondylar fracture of the adult humerus.METHODS:Thirty-six adult patients with intercondylar fractures of the hunmerus were treated with Y-type locking plate through the approach of olecranon osterotomy,including 22 males and 14 females,aged 19-76 years,... |
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