Papaioannou N, Babis G C, Kalavritinos J, Pantazopoulos T
Orthopaedic Department, University of Athens, KAT Accident Hospital, Greece.
Injury. 1995 Apr;26(3):169-73. doi: 10.1016/0020-1383(95)93495-4.
We report the results of 75 patients with type C intra-articular fracture of the distal humerus treated operatively by two methods and followed up for a mean period of 48.2 months. Minimal osteosynthesis and joint immobilization was used in 21 cases while the remaining 54 patients were treated according to AO recommendations. Good or excellent results were found in 38 per cent after minimal osteosynthesis and in 77.8 per cent following the AO technique. 87.8 per cent of the cases with stable osteosynthesis and early mobilization had a good or excellent result as compared with 41.2 per cent of the cases after unstable fixation and immobilization of the joint (P < 0.01). The type of fracture was found to be an important factor in achieving stable fixation (P < 0.01).
我们报告了75例采用两种手术方法治疗的肱骨远端C型关节内骨折患者的结果，并对其进行了平均48.2个月的随访。21例采用了微创接骨术和关节固定术，其余54例患者则根据AO指南进行治疗。微创接骨术后38%的患者结果为良好或优秀，采用AO技术治疗的患者这一比例为77.8%。与关节不稳定固定和制动后的41.2%相比，稳定接骨术和早期活动的病例中有87.8%的结果为良好或优秀（P<0.01）。结果发现骨折类型是实现稳定固定的一个重要因素（P<0.01）。
