Frattini Marco, Soncini Giovanni, Corradi Maurizio, Panno Bruno, Tocco Silvio, Pogliacomi Francesco
Unit of Orthopedic, Traumatology and Functional Rehabilitation, Department of Surgical Sciences, University of Parma, Parma Hospital, Via Gramsci 14, 43100 Parma, Italy.
Musculoskelet Surg. 2011 Dec;95(3):205-13. doi: 10.1007/s12306-011-0132-9. Epub 2011 Apr 12.
The aim of this study was to assess outcomes following open reduction and internal fixation in complex fractures of the distal humerus. Between 2000 and 2006, 34 patients were operated for complex fractures of the distal humerus. Bone fixation was obtained with a reverse Y-shaped reconstruction plate in 13 cases and with double plating in 21 cases. At final follow-up, all the patients were assessed with the Mayo Elbow Performance Score. Satisfactory results were observed in 71% of the cases despite a high rate of complications. Age over 65 years is correlated with increased risk for an inferior postoperative result. Complex distal humeral fractures are difficult to treat and are associated with a high incidence of complications. It is therefore mandatory to obtain good anatomical reduction and a stable fixation of lateral and medial columns of the distal humerus. The results observed in older patients suggest that an alternative treatment for these patients may be joint replacement.
本研究的目的是评估肱骨远端复杂骨折切开复位内固定术后的疗效。2000年至2006年期间，34例患者接受了肱骨远端复杂骨折手术。13例采用反向Y形重建钢板进行骨固定，21例采用双钢板固定。末次随访时，所有患者均采用梅奥肘关节功能评分进行评估。尽管并发症发生率较高，但71%的病例取得了满意的结果。65岁以上患者术后结果较差的风险增加。肱骨远端复杂骨折难以治疗，且并发症发生率较高。因此，必须实现良好的解剖复位并稳定固定肱骨远端的内外侧柱。老年患者的观察结果表明，这些患者的替代治疗方法可能是关节置换。
