平行加压钢板内固定治疗肱骨远端C型骨折的疗效观察

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Abstract Objective To analyze the clinical effect of internal fixation for treatment of type-C distal humerus fracture with parallel compression plate. Methods Clinical data of 65 patients with type-C distal humerus fracture were analyzed retrospectively from June 2007 to August 2014. According to the AO classification, there were 24 cases of type C₁, 32 cases of type C₂, and 9 cases of type C₃. Operation of triceps-anconeus flap approach was selected. Internal fixation with parallel compression plate,furthest fixation of the distal fracture fragments and compressive at supracondylar level were the treatment principle. Results All patients were followed up. The follow-up time was 9-18 months, averaged 12months; healing time was 8-20 weeks, average 16 weeks. CPM was used for elbow joint rehabilitation training designedly. We got the excellent result in 20 cases, good in 37, fair in 6 and poor in 2 according to Mayo Elbow Performance Scores (MEPS), the excellent and good rate was 87.6%. Heterotopic ossification was found in 2 cases, traumatic arthritis in 2 cases, ulnar nerve stretch injury in 2 cases, slight wound infection and delayed healing in 3 cases. Conclusions Internal fixation for treatment of type-C distal humerus fracture with parallel compression plate provides excellent mechanical stable structure, dependable fastness, reliable early functional exercise, and satisfactory functional recovery in elbow joint.

Key words： parallel compression plate internal fixation for treatment type-C distal humerus fracture

Received: 20 June 2015

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R683.41

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	Articles by authors
	ZHAO Junjian
	BAI Jie
	LU Ping
	SUN Lina
	GUAN Pengfei
	CHENG Xiaobin
	and JING Bowen

Cite this article:

ZHAO Junjian,BAI Jie,LU Ping等. Clinical observation on internal fixation for treatment of type-C distal humerus fracture with parallel compression plate[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(12): 1241-1244.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I12/1241

[5]	尹刚,郭兴锋,夏俊杰,等. 3种外科入路手术治疗肱骨远端C型骨折的疗效评价[J]. 中国骨与关节损伤杂志,2014,29(5): 454-456.
[6]	王万垠,杨建强,湛梅圣,等.肱三头肌肌腱止点横断入路治疗肱骨远端双柱骨折的初步研究[J].中国骨与关节损伤杂志,2011,26(1): 68-69.
[1]	张世良,李海丰,黄秩刚.骨折分类与功能评定[M].3版.北京:人民军医出版社,2008: 316-318.
[2]	赵军舰,程小宾,翟晓刚,等.老年性肱骨近端骨折锁定钢板内固定治疗疗效探讨[J].武警医学,2014,25(12): 1232-1235.
[7]	高伟, 吴小锋, 黄建华, 等.几种常用肱骨远端关节内粉碎性骨折的内固定方法比较[J]. 中国骨与关节损伤杂志,2007,22(8): 566-567.
[3]	周方,郭琰.成人肱骨髁间髁上骨折患者术后肘关节功能恢复的影响因素[J].中华创伤骨科杂志,2006,8(1): 13-15.
[8]	Shin S J, Sohn H S,Do N H.A clinical comparison of two different double plating methods for intraarticular distal humerus fractures[J].J Shoulder Elbow Surg,2010,19(1):2-9.
[9]	Frankle M A ,Herscovici D Jr,Dipasquale T G,et al. A comparison of open reduction and internal fixation and primary total elbow arthropiasty in the treatment of intraarticular distal humerus fractures in women older than age 65 [J]. J Orthop Trauma, 2003, 17: 473-480.
[4]	Mejia Silva D, Morales de los Santos R, Cienega Ramos M A, et al. Functional results of two different surgical appruaches in patients with distal humans fractures type C (AO) [J]. Acta Ortop Mex, 2008, 22(l): 26-30.
[5]	尹刚,郭兴锋,夏俊杰,等. 3种外科入路手术治疗肱骨远端C型骨折的疗效评价[J]. 中国骨与关节损伤杂志,2014,29(5): 454-456.
[6]	王万垠,杨建强,湛梅圣,等.肱三头肌肌腱止点横断入路治疗肱骨远端双柱骨折的初步研究[J].中国骨与关节损伤杂志,2011,26(1): 68-69.
[10]	Athwal G S, Hoxie S C, Rispoli D M, et al. Precontoured parallel plate fixation of AO／OTA type C distal humerus fractures [J].J Orthop Trauma,2009, 23: 575-580.
[11]	蔡浩,倪晓晖,董蕚良,等.双钢板治疗肱骨髁间骨折3种内固定方式载荷应变与移位[J].中国组织工程研究与临床康复,2011,15(5):4931-4935.
[7]	高伟, 吴小锋, 黄建华, 等.几种常用肱骨远端关节内粉碎性骨折的内固定方法比较[J]. 中国骨与关节损伤杂志,2007,22(8): 566-567.
[12]	Sanchez-Sotelo J, Torchia M E, O’Driscoll S W. Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique[J]. J Bone Joint Surg (Am), 2007, 89: 961-969.
[8]	Shin S J, Sohn H S,Do N H.A clinical comparison of two different double plating methods for intraarticular distal humerus fractures[J].J Shoulder Elbow Surg,2010,19(1):2-9.
[13]	王友华, 孙法瑞, 徐大伟, 等. 平行双接骨板内固定治疗老年肱骨远端粉碎骨折[J]. 中华创伤骨科杂志, 2010, 12(6): 513-517.
[9]	Frankle M A ,Herscovici D Jr,Dipasquale T G,et al. A comparison of open reduction and internal fixation and primary total elbow arthropiasty in the treatment of intraarticular distal humerus fractures in women older than age 65 [J]. J Orthop Trauma, 2003, 17: 473-480.
[14]	Saudan M, Saudan P, perneger T, et al. Celecoxib versus ibuprofen in the prevention of heterotopic ossification following total hip replacement: a prospective randomised trial [J]. J Bone Joint Surg (Br), 2007, 89: 155-159.
[10]	Athwal G S, Hoxie S C, Rispoli D M, et al. Precontoured parallel plate fixation of AO／OTA type C distal humerus fractures [J].J Orthop Trauma,2009, 23: 575-580.
[11]	蔡浩,倪晓晖,董蕚良,等.双钢板治疗肱骨髁间骨折3种内固定方式载荷应变与移位[J].中国组织工程研究与临床康复,2011,15(5):4931-4935.
[12]	Sanchez-Sotelo J, Torchia M E, O’Driscoll S W. Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique[J]. J Bone Joint Surg (Am), 2007, 89: 961-969.
[13]	王友华, 孙法瑞, 徐大伟, 等. 平行双接骨板内固定治疗老年肱骨远端粉碎骨折[J]. 中华创伤骨科杂志, 2010, 12(6): 513-517.
[14]	Saudan M, Saudan P, perneger T, et al. Celecoxib versus ibuprofen in the prevention of heterotopic ossification following total hip replacement: a prospective randomised trial [J]. J Bone Joint Surg (Br), 2007, 89: 155-159.