[1]陈智能,谢丽丽,孙正友,等.肱骨背外侧支撑钢板在肱骨髁部骨折中的应用[J].中医正骨,2013,25(05):43-45.
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肱骨背外侧支撑钢板在肱骨髁部骨折中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年05期
页码:
43-45
栏目:
临床报道
出版日期:
2013-05-31

文章信息/Info

作者:
陈智能1; 谢丽丽1; 孙正友1; 倪永伟1; 吕一2
1.浙江省杭州市萧山区中医骨伤科医院,浙江 杭州 311261; 2. 浙江中医药大学附属中山医院,浙江 杭州 311000
关键词:
肱骨髁部骨折 背外侧支撑 早期有序康复锻炼 侧卧位 临床研究
摘要:
目的:探讨肱骨背外侧支撑钢板在肱骨髁部骨折中的应用。方法:15例肱骨髁间及髁上骨折患者,采用侧卧位肘后侧入路,暴露骨折部位,选择性克氏针临时辅助固定,肱骨背外侧支撑锁定型解剖钢板,固定肱骨外髁,恢复肱骨外侧柱,并连接内侧柱,术后石膏外固定3～5 d可行辅助被动关节功能锻炼,术后4周,主动功能锻炼活动,6～8周后逐步负重活动。结果:15例病人均得到随访,随访时间8～23个月,中位数11个月,无死亡,全部病例临床或骨性骨折愈合,未见肢体短缩、成角畸形和临近关节功能障碍发生等,无1例发生尺神经迟发性损伤。结论:支撑稳定固定是治疗肱骨髁部骨折的有效方法之一,合理的手术体位和暴露方法、稳定的支撑固定,早期有序的康复锻炼与有效内外固定相统一是治疗成功的重要环节,可以有效避免远期尺神经损害以及防止内置物失效的发生。

参考文献/References:

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更新日期/Last Update: 1900-01-01