| 许克庆,陶钧,汤义民,等.内侧加背外侧双柱 90°解剖型钢板治疗肱骨远端 C3型骨折 15例分析[J].安徽医药,2020,24(4):700-704. |
| 内侧加背外侧双柱 90°解剖型钢板治疗肱骨远端 C3型骨折 15例分析 |
| The treatment of type C3 distal humeral fractures using medial?dorsolateral bicolumnar 90° anatomical plate fixation |
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| DOI：10.3969/j.issn.1009?6469.2020.04.016 |
| 中文关键词: 肱骨骨折 骨折固定术，内 骨板 成像，三维 尺骨鹰嘴 内侧加背外侧双柱 |
| 英文关键词: Humeral fractures Fracture fixation,internal Bone plates Imaging,three?dimensional Olecranon process Medial?dorsolateral bicolumnar |
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| 中文摘要: |
| 目的探讨内侧加背外侧双柱 90°解剖型钢板内固定治疗肱骨远端 C3型骨折手术方法及临床疗效。方法回顾性研究淮南市第一人民医院 2016年 1月至 2018年 5月期间 15例肱骨远端骨折病人，术前经三维重建 CT(Computed Tomography)确诊为 AO/OTA(Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation)分型 C3型骨折，均采用肘关节后侧经尺骨鹰嘴截骨入路，直接内侧加背外侧双柱 90°解剖型钢板内固定治疗。末次随访时使用 Mayo评分标准评估肘关节功能。结果病人术后无切口感染、骨折均愈合并获得随访，随访时间范围为 6～18个月，随访时间( 11.67±3.89)个月。末次随访未见术后内固定松动、断裂及其它严重并发症。采用 Mayo肘关节功能评分标准评价:优 6例，良 9例，优良率 100%。结论经尺骨鹰嘴截骨内侧加背外侧双柱 90°解剖型钢板内固定治疗肱骨远端 C3型骨折，骨折固定可靠，可进行早期肘关节功能锻炼从而获得良好的远期肘关节功能。 |
| 英文摘要: |
| Objective To discuss thesurgical method and the clinical curative effect of treating type C3(AO/OTA)distal humeral fractures by medial?dorsolateral bicolumnar 90° anatomical plate fixation.Methods Fifteen patients with fracture of distal humeralwho was diagnosed as Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation(AO/OTA)with 3D reconstruction Computed Tomography(CT)before surgeryinHuainan First People’s Hospital from Jan 2016 to May 2018 wereretrospectivelyresearched.All patients were treated by olecranon osteotomy and medial?dorsolateral bicolumnar 90° plate fixation.Theelbow functionswere assessed at the last follow?up using Mayo scoring system.Results There was no incision disunion，and all the fractures healed.The mean followup time was 6～18 months，average(11.67±3.89)months.There were no postoperative loosen? ing，breakage of internal fixationand other serious complications.According to Mayo elbow function scoring system，there were 6 cas? es in excellent，9 cases in good，the excellent and good rate was 100%.Conclusion By olecranon osteotomy and medial?dorsolater?al bicolumnar 90° anatomical plate fixation in the treatment of distal humeral fracture in AO type C3 offers a stable fixation，which permits early postoperative mobilization of elbow?joint and good functional outcome for long term. |
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