[1]肖　辉,贺占坤,郭新明,等.尺骨鹰嘴截骨入路与肱三头肌两侧入路治疗肱骨远端C3型骨折的对比研究[J].新乡医学院学报,2017,34(11):1024-1027.[doi:10.7683/xxyxyxb.2017.11.018]
　XIAO Hui,HE Zhan-kui,GUO Xin-ming,et al.Comparative study of olecranon osteotomy and bilateral triceps brachii approach for the treatment of type C3 distal humerus fracture[J].Journal of Xinxiang Medical University,2017,34(11):1024-1027.[doi:10.7683/xxyxyxb.2017.11.018]
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尺骨鹰嘴截骨入路与肱三头肌两侧入路治疗肱骨远端C3型骨折的对比研究
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年11
页码:
1024-1027
栏目:
临床研究
出版日期:
2017-11-05

文章信息/Info

Title:
Comparative study of olecranon osteotomy and bilateral triceps brachii approach for the treatment of type C3 distal humerus fracture
作者:
肖　辉; 贺占坤; 郭新明; 孙习勇; 杨　勇
（新乡市第一人民医院骨二科，河南　新乡　453000）
Author(s):
XIAO Hui; HE Zhan-kui; GUO Xin-ming; SUN Xi-yong; YANG Yong
（Department of Osteology，the First People′s Hospital of Xinxiang City，Xinxiang 453000，Henan Province，China）
关键词:
肱骨远端骨折; 尺骨鹰嘴截骨; 骨折内固定术; 锁定钢板; 手术入路
Keywords:
distal humeral fractures; olecranon osteotomy; fracture internal fixation; locking plate; operative approach
分类号:
R683.41
DOI:
10.7683/xxyxyxb.2017.11.018
文献标志码:
A
摘要:
目的　比较尺骨鹰嘴截骨入路结合双侧锁定板与肱三头肌两侧入路结合双钢板手术治疗肱骨远端C3型骨折的临床效果。方法　选取2006年7月至2016年2月于新乡市第一人民医院骨科手术治疗并获得随访的肱骨远端C3型骨折患者45例，根据手术方式分为尺骨鹰嘴截骨组25例和肱三头肌两侧入路组20例，尺骨鹰嘴截骨组患者行尺骨鹰嘴截骨入路结合双侧锁定板手术治疗，肱三头肌两侧入路组患者行肱三头肌两侧入路结合双钢板手术治疗，对2组患者的切口长度、手术时间、住院时间、骨折愈合时间、术后并发症及患侧肘关节功能评分进行比较。结果　2组患者的平均随访时间比较差异无统计学意义（P>0.05）。尺骨鹰嘴截骨组患者的切口长度显著短于肱三头肌两侧入路组（P<0.05）；2组患者的手术时间、住院时间、骨折愈合时间比较差异均无统计学意义（P>0.05）。尺骨鹰嘴截骨组患者术后发生感染1例，异位骨化2例，术后并发症发生率为12.0%（3/25）；肱三头肌两侧入路组患者术后发生异位骨化1例，骨折延迟愈合l例，肘关节僵直1例，术后并发症发生率为15.0%（3/20）；2组患者的术后并发症发生率比较差异无统计学意义（χ2=0.087，P>0.05）。末次随访时，尺骨鹰嘴截骨入路组患者肘关节功能Mayo评分优良率为88.0%（22/25），肱三头肌两侧入路组患者肘关节功能Mayo评分优良率为55.0%（11/20），尺骨鹰嘴截骨组患者的肘关节功能优良率显著高于肱三头肌两侧入路组（χ2=6.188，P<0.05）。结论　与肱三头肌两侧入路相比，尺骨鹰嘴截骨入路结合双侧锁定板内固定治疗更有利于肱骨远端C3型骨折患者术后肘关节功能恢复。
Abstract:
Objective　To compare the clinical effect between olecranon osteotomy and bilateral triceps brachii approach combined with bilateral locking plate in the treatment of type C3 distal humerus fracture.Methods　Forty-five patients with type C3 distal humerus fracture were performed with operation and follow-up in Department of Osteology of the First People′s Hospital of Xinxiang City from July 2006 to February 2016.The patients were divided into olecranon osteotomy group（n=25） and bilateral triceps brachii approach group（n=20）.The patients in olecranon osteotomy group were treated with olecranon osteotomy combined with bilateral locking plate，and the patients in bilateral triceps brachii approach group were treated with bilateral triceps brachii approach combined with bilateral locking plate.The incision length，operation time，hospitalization time，fracture healing time，postoperative complications and the score of elbow joint function were compared between the two groups.Results　There was no significant difference in the mean follow-up time between the two groups （P>0.05）.The incision length in olecranon osteotomy group was significantly shorter than that in bilateral triceps brachii approach group（P<0.05）.There was no significant difference in the operation time，hospitalization time and fracture healing time between the two groups （P>0.05）.There was one case of infection and two cases of heterotopic ossification in the olecranon osteotomy group，and the incidence of postoperative complications was 12.0%（3/25）.There was one case of heterotopic ossification，one case of fracture delayed union and one case of elbow joint stiffness in the bilateral triceps brachii approach group，and the incidence of postoperative complications was 15.0% （3/20）.There was no significant difference in the incidence of postoperative complications between the two groups （χ2=0.087，P>0.05）.At the end of the follow-up，the excellent rate of the Mayo score of elbow joint function in the olecranon osteotomy group and bilateral triceps brachii approach group was 88.0%（22/25） and 55.0%（11/20） respectively，the excellent rate in the olecranon osteotomy group was significantly higher than that in the bilateral triceps brachii approach group（χ2=6.188，P<0.05）.Conclusion　Compared with the bilateral triceps brachii approach，the olecranon osteotomy combined with bilateral locking plate fixation is more beneficial to the recovery of elbow joint function in patients with type C3 distal humerus fracture.

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相似文献/References:

[1]邵 锋,卢绪章.切开复位内固定治疗老年人肱骨远端骨折的疗效及影响因素分析[J].新乡医学院学报,2015,32(05):444.

更新日期/Last Update: 2017-11-05