经肱三头肌内外侧联合入路双钢板内固定治疗肱骨髁间骨
折的临床研究
朱俊锟;应锦河;柳育健
【期刊名称】《中华手外科杂志》 【年(卷),期】2009(025)004
【摘要】Objective To evaluate the treatmene results of double plating of type C1,C2(AO/ASIF) intercondylar fractures of the distal humerus through
combinod
mediolateral
tricepe-sparing
approach
(TSA).Methods A retrospective analysis of 7 cases of intercondylar comminuted fractures of the distal humerus was conducted. There were 3 cases of type C1 and 4 cases of type C2. All the patients were treated with open reduction and double plate and cannulated screw fixation through combined mediolateral triceps-sparing approach. Results Postoperative follow up period was 15 montks (range, 8 to 18 months). Results were evaluated using the Mayo Elbow Performance Score (MEPS). Five cases were graded as excellent, while 2 cases good. Average elbow flexion was (118.6±11.4)°. Average extension lag was (22.9±12.1)°. Carrying angle was (20±5)°. No implant loosening or breakage was noted. Conclusion Combined mediolateral TSA is an ideal approach for fixation of type C1, C2 intercondylar fractures of the distal humerus in that it provides adequate exposure to the fracture site, facilitates fracture reduction and allows early rehabilitation.%目的 探讨经
经肱三头肌内外侧联合入路双钢板内固定治疗肱骨髁间骨折的临床研究
