摘要
目的观察肘前外侧入路治疗肱骨远端冠状面骨折患者的临床疗效。方法6例肱骨远端冠状面骨折患者(按Dubberley分型ⅡA 3例,ⅢB 3例)均采用肘前外侧入路治疗。记录患者的手术切口长度、手术时间、术中出血量、住院时间、并发症,门诊随访患者骨折愈合及Mayo肘关节评分情况。结果6例患者的切口长度5~10 cm,平均(7.2±0.7)cm,手术时间60~100 min,平均(75.0±5.0)min,术中出血25~100 mL,平均(49.0±14.8)mL,术后切口均I期愈合,住院时间7~18天,平均(12.5±2.8)天,随访时间12~38月,平均(25.5±2.8)月,无1例出现骨折移位、骨不连和内固定失效,1例并发异位骨化(Hastings和Graham分级ⅢC)。末次随访时Mayo评分75~100分,平均(92.5±5.0)分。结论肘前外侧入路治疗肱骨远端冠状面骨折显露充分,容易直视下复位固定骨折,手术时间短,出血少,近期临床疗效满意。
Aim To observe the clinical effect of anterolateral elbow approach on coronal fracture of distal humerus.Methods 6 patients with coronal fractures of the distal humerus(DubberleyⅡA in 3 cases,ⅢB in 3 cases)were treated by anterolateral elbow approach.Surgical incision length,duration of surgery,intraoperative blood loss,length of hospital stay,complications,fracture union and Mayo elbow score in outpatient follow-up were recorded.Results The incision length of 6 patients was 5-10 cm,with an average of(7.2±0.7)cm,the operation time was 60-100 min,with an average of(75.0±5.0)min,the intraoperative bleeding was 25-100 mL,with an average of(49.0±14.8)mL,the incision healing was stage I,and the hospital stay was 7-18 days,with an average of(12.5±2.8)days.The mean follow-up time was 12-38 months,with an average of(25.5±2.8)days.There was no fracture displacement,nonunion or internal fixation failure in 1 case,and 1 case was complicated with ectopic ossification(Hastings and Graham gradeⅢC).At the last follow-up,the Mayo Clinic score was 75-100,with an average of(92.5±5.0).Conclusion Anterolateral elbow approach for the treatment of coronal fractures of the distal humerus is fully exposed,easy to reduce and fix fractures under direct vision,short operation time,less bleeding,and short-term clinical efficacy is satisfactory.
作者
阳曙东
陶建春
谭文甫
刘金华
符勇
YANG Shudong;TAO Jianchun;TAN Wenfu;LIU Jinhua;FU Yong(Department of Trauma and Pediatric Orthopedics,the Second Affiliated Hospital,Hengyang Medical School,University of South China,Hengyang,Hunan 421001,China)
出处
《中南医学科学杂志》
CAS
2022年第2期241-244,共4页
Medical Science Journal of Central South China
基金
湖南省卫生健康委员会科研项目(20201917)。
关键词
肘前外侧入路
肱骨远端冠状面骨折
切开复位内固定
anterolateral elbow approach
coronal fractures of the distal humerus
open reduction and internal fixation
