平行双钢板法内固定治疗肱骨远端C型骨折
Parallel double plating fixation for treatment of type C distal humerus fractures
目的 探讨平行双钢板法内固定治疗肱骨远端C型骨折的疗效.方法 经尺骨鹰嘴“Ⅴ”型截骨入路,平行双钢板法内固定治疗肱骨远端C型骨折17例.结果 17例获得12~36个月的随访,参照HSS肘关节评分标准评价术后功能:优9例,良5例,可3例;优良率为82.4%.结论 该术式人路对肱骨远端骨折显露充分,平行双钢板的放置方式符合肱骨远端双柱的生物力学原理,能重建肱骨远端的骨性结构,疗效满意.
更多Objective To evaluate the treatment results of dual plating internal fixation of type-C distal humeral fractures. Methods Seventeen patients with distal humeral fractures were treated by dual plating internal fixation via “Ⅴ” shaped olecranonectomy. Rcsults All 17 patients were follow-up from 12 to 36 months.According to the HSS elbow function evaluation criteria,the results were rated as excellent in 9 cases,good in 5 cases and fair in 3 cases.The satisfactory rate was 82.4%. Conclusion This approach has good exposure of the distal humeral fractures.Dual plating internal fixation is in concordance with the douhle pillar biomechanics of the distal humerus and thus leads to good treatment outcomes.
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