探讨经尺骨鹰嘴截骨入路应用肱骨内、外髁解剖钢板治疗肱骨髁间骨折的方法和临床疗效。方法:2000年7月~2013年3月采用经尺骨鹰嘴截骨入路结合肱骨内、外髁解剖钢板治疗肱骨髁间骨折30例,男18例,女12例;年龄17~56岁,平均34岁。按照Riseborough和Radin的分类方法,Ⅱ型7例,Ⅲ型18例,Ⅳ型5例。结果:术后30例骨折复位满意,2例复位稍差,无切口感染,1例术中牵拉损伤尺神经,30例获得随访,时间8~23个月,平均12.8个月。尺神经损伤恢复,骨折全部愈合,无内固定松动及断裂,愈合时间12~18周,平均14.6周。根据改良的Cassebaum评分系统评价肘关节功能,其中优10例,良14例,可4例,差2例,优良率80%。结论:经尺骨鹰嘴截骨入路结合肱骨内、外髁解剖钢板固定是治疗肱骨髁间骨折的较为有较的方法。
Objective To explore the treatment effect of intercondylar fracture of humerus through approach of osteotomy of olecranon (AOO) with dual anatomical steel plate(DASP). Method From July 2000 to March 2013,30 patients of intercondylar fracture of humerus were treated surgical y through AOO, and the fracture was reduced and fixed with DASP. The patients included 18 males and 12 females with a mean age of 34 years (range 17~56 years), According to Riseborough and Radin classification, type Ⅱ fracture was found in 7 cases, type Ⅲ in 18, type Ⅳ in 5. Early rehabilitation exercises was taken in al the cases.Result The fractures in al the cases were satisfactory reduced but two not too good, none had incision infection, injuries of the ulnar nerve.Al 30 patients were fol owed up from 8 months to 23 months (average 14.6 months), of these 30 patients, al the osteotomies healed in 12.8 weeks averagely(range 12~18 weeks) and the injuried ulnar nerve recovered completely. The function