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肱骨髁间骨折——平行钢板固定及其效果

Intercondylar humerus fracture- parallel plating and its results.

作者信息

Kumar Sanjiv, Singh Sudhir, Kumar Dharmender, Kumar Neeraj, Verma Reetu

机构信息

Assistant Professor, Department of Orthopaedics, Era's Lucknow Medical College & Hospital , Lucknow, India .

Professor & Head, Department of Orthopaedics, Era's Lucknow Medical College & Hospita , Lucknow, India .

出版信息

J Clin Diagn Res. 2015 Jan;9(1):RC01-4. doi: 10.7860/JCDR/2014/12137.5479. Epub 2015 Jan 1.

Abstract

BACKGROUND

Intercondylar fracture of humerus is one of the commonest fractures of young adult and counts for about 30% of all elbow fractures. The treatment of these fractures continues to present challenges despite advances in internal fixation. Although orthogonal plating use to provid adequate functional results in these fractures, parallel plating is said to be mechanically more stable construct thus allowing early mobilization and better range of motion.

AIM

AIM of the study is to assess the clinical as well functional results of these fractures treated with parallel plating.

STUDY AND DESIGN

Prospective study in a tertiary care hospital.

MATERIALS AND METHODS

A total of 23 fresh patients of intercondylar fracture of humerus from Jan 2013 to May 2014 were included in the study and were treated with parallel plating. These patients were followed at 3, 6, 12, 24 weeks and at 1year of follow up and assessed in terms of time for union, range of motion, MAYO score, DASH score and complication rate.

RESULTS

At final follow up Mayo score was 96.32±04.96 from 5.00±01.26 and DASH SCORE was 31.42±2.04 which dropped from 150±05.34, Range of motion improved from 21.38±05.70 to 116.1±07.92 with 100% union rate and complications less than 19%.

CONCLUSION

Parallel plating for intercondylar fracture of humerus is excellent method of fixation and results are similar to those treated with orthogonal plating.

摘要

背景

肱骨髁间骨折是青壮年最常见的骨折之一,约占所有肘部骨折的30%。尽管内固定技术有所进步,但这些骨折的治疗仍面临挑战。虽然正交钢板固定在这些骨折中能提供足够的功能结果,但据说平行钢板在力学上是更稳定的结构,从而允许早期活动和更好的活动范围。

目的

本研究的目的是评估采用平行钢板治疗这些骨折的临床及功能结果。

研究与设计

在一家三级护理医院进行的前瞻性研究。

材料与方法

2013年1月至2014年5月共纳入23例新鲜肱骨髁间骨折患者,采用平行钢板治疗。对这些患者在术后3周、6周、12周、24周及1年进行随访,评估骨折愈合时间、活动范围、梅奥评分、DASH评分及并发症发生率。

结果

末次随访时,梅奥评分从5.00±01.26提高到96.32±04.96,DASH评分从150±05.34降至31.42±2.04,活动范围从21.38±05.70改善到116.1±07.92,骨折愈合率达100%,并发症发生率低于19%。

结论

肱骨髁间骨折采用平行钢板固定是一种优秀的固定方法,其结果与采用正交钢板固定相似。

相似文献

1
Intercondylar humerus fracture- parallel plating and its results.肱骨髁间骨折——平行钢板固定及其效果
J Clin Diagn Res. 2015 Jan;9(1):RC01-4. doi: 10.7860/JCDR/2014/12137.5479. Epub 2015 Jan 1.

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