| 肘内外侧联合入路和肘后尺骨鹰嘴截骨入路治疗肱骨髁间骨折 |
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投稿时间：2017-07-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 钟云祥 |
ZHONG Yun-xiang |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
gddgzyx@163.com |
| 张雄辉 |
ZHANG Xiong-hui |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 蔡国雄 |
CAI Guo-xiong |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 周鸿志 |
ZHOU Hong-zhi |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 杨文理 |
YANG Wen-li |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 潘希彬 |
PAN Xi-bin |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 官龙洲 |
GUAN Long-zhou |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 张火林 |
ZHANG Huo-ling |
河源市中医院骨三区, 广东 河源 517000 |
The 3rd Department of Orthopaedics, Heyuan Hospital of Traditional Chinese Medicine, Heyuan 517000, Guangdong, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第10期，第957-960页 |
| DOI：10.3969/j.issn.1003-0034.2017.10.015 |
| 基金项目: |
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中文摘要:
目的：探讨肘内外侧联合入路和肘后尺骨鹰嘴截骨入路治疗肱骨髁间骨折的疗效及优缺点。
方法：2012年10月至2016年5月，对18例肱骨髁间骨折患者进行手术治疗，男12例，女6例；年龄4～56岁，平均33.5岁。按AO分型：C1型3例，C2型8例，C3型7例。8例行肘关节内外侧联合入路，10例行尺骨鹰嘴截骨入路；所有患者术前排除神经、血管损伤。
结果：18例患者获随访，时间12～26个月，平均15个月。患者伤口愈合良好，未发现异位骨化。按改良的Cassebaum肘关节功能评分：优14例，良3例，可1例。
结论：根据骨折类型，选择合适的手术入路及固定方式，力求解剖复位、坚强固定，配合早期功能锻炼是肱骨髁间骨折手术取得成功、最终获得良好功能恢复的重要条件。 |
| 【关键词】肱骨骨折 骨折固定术，内 外科手术 |
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| Treatment of intercondylar fracture of the humerus through internal and external elbow approach or elbow posterior olecranon osteotomy approach |
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ABSTRACT
Objective:To investigate the efficacy,advantages and disadvantages of internal and external elbow joint approach and olecranon osteotomy approach for the treatment of intercondylar fracture of humerus.
Methods:From October 2012 to May 2016,18 cases of intercondylar fracture of humerus were treated by operation including 12 males and 6 females with a mean age of 33.5 years old (ranged from 4 to 56 years old);8 cases were operated by internal and external elbow joint approach,10 cases were operated by olecranon osteotomy approach. According to AO classification,3 cases were type C1,8 cases were type C2,7 cases were type C3. All patients were excluded from neurologic and vascular injuries.
Results:All patients were followed up from 12 to 26 months with an average of 15 months. The incision healed well and no heterotopic ossification was found. According to the modified Cassebaum elbow function score,the result was excellence in 14 cases,good in 3 cases,fair in 1 case.
Conclusion:According to the fracture type,the appropriate surgical approach and fixation were selected in order to get anatomic reduction. Rigid fixation,and early functional exercise is important condition for successful operation and satisfactory functional recovery in intercondylar fracture of the humerus. |
| KEY WORDS Humeral fractures Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 钟云祥,张雄辉,蔡国雄,周鸿志,杨文理,潘希彬,官龙洲,张火林.肘内外侧联合入路和肘后尺骨鹰嘴截骨入路治疗肱骨髁间骨折[J].中国骨伤,2017,30(10):957~960 |
| 英文格式: | ZHONG Yun-xiang,ZHANG Xiong-hui,CAI Guo-xiong,ZHOU Hong-zhi,YANG Wen-li,PAN Xi-bin,GUAN Long-zhou,ZHANG Huo-ling.Treatment of intercondylar fracture of the humerus through internal and external elbow approach or elbow posterior olecranon osteotomy approach[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(10):957~960 |
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