摘要
目的 探讨Bryan-Morrey入路结合解剖锁定钢板固定治疗肱骨远端C型骨折的安全性、有效性及临床疗效.方法 前瞻性分析201 1年3月-2014年8月采用后侧Bryan-Morrey入路结合解剖锁定接骨板治疗肱骨远端C型骨折的33例患者临床资料,平均年龄（37.3±4.1）岁,术后随访6 ～ 25个月,平均（12.3±2.8）个月,记录并分析患者肘关节Mayo肘关节功能评分、肘关节屈伸活动度以及屈伸肘关节肌力情况,并采用SPSS 13.0进行统计学分析.结果 本组中除5例出现尺神经感觉功能部分损伤症状外,无其他严重并发症,无骨不连、肱三头肌肌腱断裂以及感染等病例,末次随访时,肘关节屈伸活动肌力无明显减低,肘关节屈曲平均（134.5°±10.1°）,伸直平均（-11.5°±8.1°）,按照Mayo肘关节功能评分,肘关节功能评分平均（86.2±7.8）分,优良率84％.结论 采用后侧Bryan-Morrey入路结合解剖锁定接骨板固定是治疗肱骨远端C型骨折的良好选择.
Objective To study the clinical efficacy and safety of Bryan-Morrey approach combined with anatomic locking plate fixation for the treatment of type C fractures of distal humerus.Methods Performed a prospective study from from Mar.2011 to Aug.2014.Thirty-three cases of distal humerus fracture were included in our study,and the mean age was （37.3 ±4.1） years old.The fracture type of distal humerus was 13-C according to Mayo classification.All the fractures treated with a Bryan-Morrey approach and anatomic locking plates.In the follow-up,Mayo scores of elbow,measurement of range of motion,elbow flexion and extension muscle strength were recorded and analysed.Results In this study,there were no serious complications,such as nonunion,rupture of triceps tendon and the infection,except partial sensory function injury of ulnar nerve in 5 cases.At the last time of the follow-up,elbow flexion muscle strength and extension muscle strength did not significantly decreased significantly compared with strength of the normal side.The mean flexion of the injured side was （134.5 ± 10.1） degrees,and the mean extension was （-1 1.5 ± 8.1） degrees.According to Mayo elbow performance score,the average scores of elbow was （86.2 ± 7.8）,84% of the patients got excellent or very excellent function results.Conclusion The Bryan-Morrey approach combined with anatomic locking plate fixation is a good choice for the treatment of distal humerus fractures of AO C type.
出处
《国际外科学杂志》
2015年第8期529-532,共4页
International Journal of Surgery
