尺骨鹰嘴截骨入路治疗C型肱骨髁间骨折的疗效分析

doi:10.13418/j.issn.1001-165x.2020.02.024

Abstract

Abstract: Objective　To investigate the clinical efficacy of olecroanon osteotomy in the treatment of C-type intercondylar fracture of humerus. Methods　50 cases of humerus intercondylar fracture with treatment of olecroanon osteotomy approach were collected from June 2015 to June 2018 (male 23, and female 27). The average time from trauma to surgery was 3 days. According to the injuries caused by different accidents, 17 cases were traffic accident, 25 cases were fall off accidents, and 8 cases were fall from accidents. According to the fracture type, 12 cases of C1 fracture, 28 cases of C2 fracture and 10 cases of C3 fracture. According to the mechanism of fracture injury, 34 cases were straightened and 16 cases were buckled. The Cassebaum Score system was used to evaluate the elbow joint function during the follow-up after operation. Results All patients were followed up for 12 to 18 months, with an average of 14.7 months. No displacement of bone mass or failure of internal fixation occurred in all cases, and bony healing was observed at the site of olecranon osteotomy. Evaluation of elbow joint function as follow: excellent in 25 cases, good in 18 cases, fair in 5 cases, poor in 2 cases. Excellence rate was 86%. Conclusions The treatment of C-type intercondylar fracture of humerus by olecroanon osteotomy is satisfactory.

Key words: Humerus, 　Intercondylar fracture, 　Olecroanon, Osteotomy, 　Surgical approach

CLC Number:

R683.41

WANG Tie-nan, QIN Song, SU Yun, LI Bo-rui, WANG Jian-chuan, WANG Zhong-pu. Analysis of the curative effect of olecroanon osteotomy on treating of C-type intercondylar fracture of humerus[J]. Chinese Journal of Clinical Anatomy, 2020, 38(2): 221-224.

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Analysis of the curative effect of olecroanon osteotomy on treating of C-type intercondylar fracture of humerus

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