【摘要】 目的探讨肱骨远端骨折的手术内固定方法和治疗效果。方法采用双钢板固定手术治疗肱骨远端骨折患者74例。AO/ASIF分型:A型26例,B型34例,C型14例。术后进行功能锻炼,术后及术后1、3、6个月分别照片复查,了解骨折愈合,评定关节功能恢复情况。结果肘关节功能按Jupiter肘关节关节分标准:优40例,良22例,可12例,优良率83%。结论双钢板固定术对肱骨远端骨折治疗效果满意。损伤的严重程度、手术方式的选择、术后功能锻炼的方法和患者的配合程序是影响疗效的因素。更多还原

【Abstract】 Objective To investigate the internal fixation for distal humeral fractures and its outcome.Methods A total of 74 patients with distal humeral fractures were performed surgical operation between Jan 2006and Jun 2009.According to AO/ASIF classification,the factures were classified as type A(n=26),B(n=34)and C(n=14).Internal fixation was applied to the patients,who did functional exercises after operation,on the basis of classification.The healing of the fractures and the function the joints was examined via follow-up and X-ray films 1,3and 6months after operation.Results According to the Jupiter elbow score,40cases were excellent,22cases were good,12cases were fair and 0case was poor,and the good rate was 83%.Conclusion Internal fixation with double plate,is an effective therapeutic approach to distal humeral fractures in adults.Influencing factors of the efficacy include severity of the initial trauma,operative scheme,and post-operation functional recover.更多还原