| 阳曙东,陶建春,谭文甫,刘金华,符勇.肘前外侧入路治疗肱骨远端冠状面骨折的疗效.[J].中南医学科学杂志.,2022,(2):241-244. |
| 肘前外侧入路治疗肱骨远端冠状面骨折的疗效 |
| Surgical treatment efficacy of anterolateral elbow approach for distal humerus coronal fracture |
| 投稿时间：2021-01-09 修订日期：2021-11-22 |
| DOI：10.15972/j.cnki.43-1509/r.2022.02.021 |
| 中文关键词: 肘前外侧入路 肱骨远端冠状面骨折 切开复位内固定 |
| 英文关键词:anterolateral elbow approach coronal fractures of the distal humerus open reduction and internal fixation |
| 基金项目:湖南省卫生健康委员会科研项目(20201917) 作者简介:阳曙东,硕士研究生,主治医师,研究方向为成人和儿童骨关节创伤的诊治,E-mail为1018581654@qq.com。通信作者符勇,硕士,副主任医师,硕士研究生导师,研究方向为成人和儿童骨关节创伤的诊治,E-mail为350325619@qq.com。 |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| To observe the clinical effect of anterolateral elbow approach on coronal fracture of distal humerus. Methods6 patients with coronal fractures of the distal humerus (Dubberley ⅡA 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. ResultsThe 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 grade ⅢC). At the last follow-up, the Mayo Clinic score was 75－100, with an average of (92.5±5.0). ConclusionAnterolateral 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. |
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