成人肱骨远端严重粉碎性骨折的固定与重建
甄平;刘兴炎;田琦;李旭升;薜云;
摘要(Abstract):
[目的]探讨肱骨髁间严重粉碎性骨折的手术复位与内固定方法。[方法]2003年3月~2008年8月收治成人肱骨髁间严重粉碎性骨折17例,按AO/ASIF分型C1型4例,C2型6例,C3型7例。手术采用经肘后肱三头肌翻瓣入路,骨折解剖复位并植骨重建肱骨远端骨性结构后采用重建钢板内固定。[结果]术后肱骨远端骨折及关节面均实现解剖对位,骨愈合时间2.8~4.2个月。[结论]采用肘后入路骨折显露良好,组合多种简单的内固定可实现骨折对位与重建,术后肘关节的功能恢复依赖于牢固的内固定及早期功能锻炼。
关键词(KeyWords): 肱骨;骨折;髁间;粉碎性;内固定
基金项目(Foundation):
作者(Author): 甄平;刘兴炎;田琦;李旭升;薜云;
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DOI:
参考文献(References):
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