| 摘要: |
| ［摘要］ 目的 比较肱骨远端C型骨折使用垂直与平行钢板内固定的临床疗效。方法 回顾性分析2016-02～2019-02该科收治的79例肱骨远端C型骨折患者，分为垂直固定组32例和平行固定组47例，采用Mayo肘关节功能评分比较两组患者的临床疗效。结果 随访10～18（12.85±2.26）个月，骨折全部愈合。垂直固定组Mayo评分优15例，良12例，可4例，差1例，优良率为84.38%。平行固定组Mayo评分优22例，良17例，可6例，差2例，优良率为82.98%。肘关节活动度垂直固定组为（102.91±15.65）°，平行固定组为（103.19±13.57）°，两组比较差异无统计学意义（P>0.05）。结论 肱骨远端C型骨折使用垂直或平行钢板内固定均能达到满意的临床疗效，对于外髁粉碎骨折、低切迹骨折、严重骨质疏松等更适宜平行钢板内固定。 |
| 关键词: 肱骨远端骨折 垂直钢板 平行钢板 |
| DOI：10.3969/j.issn.1674-3806.2020.06.03 |
| 分类号:R 683 |
| 基金项目: |
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| Comparison of the clinical effects on treatment of type C distal humeral fractures between perpendicular-plate and parallel-plate fixations |
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HAN Lei, DONG Jing-ming, PAN Chao, et al.
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The Second Ward of Upper Extremity of Orthopedic Trauma, Tianjin Hospital, Tianjin 300200, China
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| Abstract: |
| ［Abstract］ Objective To compare the clinical effects on treatment of type C distal humeral fractures between perpendicular-plate and parallel-plate fixations. Methods A retrospective analysis was performed on 79 patients with type C distal humeral fractures who were admitted to our department from February 2016 to February 2019, and the patients were divided into perpendicular fixation group(32 cases) and parallel fixation group(47 cases). Mayo elbow function score was used to compare the clinical efficacy between the two groups. Results All the patients were followed up for 10～18(12.85±2.26)months, and their fractures healed. In the perpendicular fixation group, the Mayo elbow function score was excellent in 15 cases, good in 12 cases, fair in 4 cases and poor in 1 case, and the excellent and good rate was 84.38%. In the parallel fixation group, the Mayo elbow function score was excellent in 22 cases, good in 17 cases, fair in 6 cases and poor in 2 cases, and the excellent and good rate was 82.98%. The range of motion of the elbow joint was (102.91±15.65)° in the perpendicular fixation group and (103.19±13.57)° in the parallel fixation group, and the difference between the two groups was not statistically significant(P>0.05). Conclusion Both perpendicular-plate and parallel-plate fixations can achieve satisfactory clinical efficacy for type C distal humeral fractures, and the parallel-plate fixation is more suitable for comminuted fracture of external condyle, low notch fracture and severe osteoporosis. |
| Key words: Distal humeral fractures Perpendicular plate Parallel plate |
