| 双钢板内固定治疗肱骨远端粉碎性骨折 |
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| 引用本文： | 游逸丰,潘建成,王慧,周佩敏.双钢板内固定治疗肱骨远端粉碎性骨折[J].中国医师进修杂志,2009(7):17-19. |
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| 作者姓名： | 游逸丰 潘建成 王慧 周佩敏 |
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| 作者单位： | 浙江省温州市第三人民医院骨科,325000 |
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| 摘 要： | 目的评价经鹰嘴截骨双钢板内固定治疗肱骨远端粉碎性骨折的疗效。方法对28例肱骨远端粉碎性骨折采取后路经鹰嘴截骨切口，开放解剖复位，双钢板内固定，术后早期功能锻炼。结果28例患者获得9～31个月的随访，用改良Cassebaum评分系统评价术后疗效，优10例，良12例，可5例，差1例，优良率78．57％（22／28）。结论经鹰嘴截骨双钢板内固定和早期的功能锻炼，不失为治疗肱骨远端粉碎性骨折的一种有效手段。
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| 关 键 词： | 肱骨 骨折 粉碎性 内固定器 截骨术 |
Treatment of distal humerus extremity comminuted fracture by internal fixation with double plates |
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| YOU Yi-feng,PAN Jian-cheng,WANG Hui,ZHOU Pei-min.Treatment of distal humerus extremity comminuted fracture by internal fixation with double plates[J].Chinese Journal of Postgraduates of Medicine,2009(7):17-19. |
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| Authors: | YOU Yi-feng PAN Jian-cheng WANG Hui ZHOU Pei-min |
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| Institution: | . (Department of Orthopedics, The Third People＇s Hospital of Wenzhou City, Zhejiang Wenzhou 325000, China) |
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| Abstract: | Objective To evaluate the effect of the distal humerus extremity comminuted fracture treated by double plates through olecranon osteotomy. Method Twenty-eight patients with humerus extremity comminuted fractures were fixed by double plates through olecranon oste0tomy followed by early functional exercise. Results All the cases were followed up 9-31 months. The curative effect was assessed by the method of modified Cassebaum rating system. The operation was excellent in 10 cases, good in 12 cases, fair in 5 cases, bad in 1 case. The excellent and good rate was 78.57%（22/28）. Conclusion Treatment of humerus extremity comminuted fractures by double plates through olecranon osteotomy foUowed by early functional exercise are excellent with satisfactory functional recovery. |
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| Keywords: | Humerus Fractures comminuted Internal fixators Osteotomy |
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