标题：双AO重建钢板治疗C型肱骨远端骨折32例疗效观察

      作者：何 勇
    (深圳市第五人民医院骨外科，广东 深圳 518001)

      卷次： 2013年24卷11期

      【摘要】 目的 观察双AO重建钢板治疗C型肱骨远端骨折的临床疗效。方法 32例C型肱骨远端骨折
患者，均见不同程度骨折，切开复位Ｃ型肱骨远端骨折，并利用双AO重建钢板螺钉进行固定，经随访，分析患者
治愈情况。结果 经治疗后，本组C型肱骨远端骨折患者治愈情况较好。随访 8个月至 3年，平均随访时间
(16.5±8.7)个月。手术治愈的优良率为81.3%。另外，本组32例骨折患者中，完成手术后发生异位骨化的患者有1
例，另有1例患者出现尺神经损伤，通过非手术治疗治愈，未见切口感染。结论 在Ｃ型肱骨远端骨折的治疗过
程中，通过双钢板及螺钉固定治疗，能够有效的促使患者骨折端的良好固定，对患者早期功能的锻炼非常有利，
肘关节的恢复较为有效，可取得满意疗效。

      【关键词】 肱骨远端骨折；双钢板；内固定

      【中图分类号】 R683.41 【文献标识码】 A 【文章编号】 1003—6350（2013）11—1678—03


Clinical observation of double AO reconstruction plate in the treatment of type C fractures of distal humerus.
HE Yong.
Department of Orthopedics, the Fifth People's Hospital of Shenzhen, Shenzhen 518001, Guangdong, CHINA

【Abstract】 Objective To observe the curative effect of double AO reconstruction plate in the treatment of
type C fractures of distal humerus. Methods Thirty-two patients with type C fractures of distal humerus were treated
by open reduction, with double AO reconstruction plate for fixation. The curative effect was analyzed. Results The
patients were followed up for 8 months to 3 years, with the mean time of (16.5±8.7) months. The treatment outcome
was satisfactory, with the excellent and good rate of 81.3%. Of the 32 patients, one patient was observed with ossifica-
tion, and one patient was observed with the ulnar nerve injury, which both recovered through nonoperative treatment.
Conclusion In the treatment of type C fractures of distal humerus, AO reconstruction plate can effectively promote
the fixation of bone fracture in patients, which is beneficial for early functional exercise, and can obtain a satisfactory
curative effect.

      【Key words】 Distal humeral fractures; Double plate; Internal fixation
·临床经验·