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1、经尺骨鹰嘴截骨入路治疗肱骨髁上复杂骨折李建军1刘文和2（通讯作者）杨志刚1朱新晨1阿里木1萨木克?塔丙铁木尔1王顶文1（1托克逊县人民医院新疆托克逊838100）（2清远市人民医院骨科二区<暨南大学医学院附属清远医院>广东清远511518）【摘要】目的: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Rise
2、borough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。尺祌经损伤恢复，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。【关键词】肱骨髁间骨折
3、内固定治疗效果【中图分类号】R683.41【文献标识码】A【文章编号】1672-5085（2014）23-0035-02TreatmentEffectofIntercondylarFractureofHumerusThroughApproachofOsteotomyofOlecranonwithDualAnatomicalSteelPlateILijian-jun,lWangDing-wen,lYangZhi-gang,IZhuXin-chen,ISaMu-ke?Taxiqiemuer,1Ali-mu,2Li
4、uWen-he*（IThePeople’hospitalofTuokexun,XinjiangTuokexun,8381002.DepartmentofOrthopaedics,ThePeople’sHospitalofQingyuan,GuandongQingyuan511518,Chinai.e.theAffiliatedQingyuanPeople’sHospitalofMedicalcollageofJinanUniversity)【Abstract】Objecti
5、veToexplorethetreatmenteffectofintercondylarfractureofhumerusthroughapproachofosteotomyofolecranon(AOO)withdualanatomicalsteelplate(DASP).MethodFromJuly2000toMarch2013,30patientsofintercondylarfractureofhumerusweretreatedsurgicallythroughAOO,andthefracturew
6、asreducedandfixedwithDASP.Thepatientsincluded18malesand12femaleswithameanageof34years(range17〜56years),AccordingtoRiseboroughandRadinclassification,typeIIfracturewasfoundin7cases,typeIIIin18,typeIVin5.Earlyrehabilitationexerciseswastakeninallthecases.Result
7、Thefracturesinallthecasesweresatisfactoryreducedbuttwonottoogood,nonehadincisioninfection,injuriesoftheulnarnerve.All30patientswerefollowedupfrom8monthsto23months(average14.6months),ofthese30patients,alltheosteotomieshealedin12.8weeksaveragely(range12〜18wee
8、ks)andtheinjuriedulnarnerverecoveredcompletely.Thefunctionoftheelbow(accordingtoCassbaumscale)showedexcellentin10cases,goodin14,fairin4andpoorin2.thegoodexcellentratewas80%.ConclusionThetechniqueofDASP
