Houben P F, Bongers K J, vd Wildenberg F A
University Hospital Maastricht, The Netherlands.
Injury. 1994 Jul;25(5):305-9. doi: 10.1016/0020-1383(94)90241-0.
Distal intra-articular bicondylar humeral fractures are usually treated by means of cancellous screw(s) for the condylar block and one or two plates for fixation of the block to the shaft. The method and results of double tension band osteosynthesis instead of double plating for fixation of the condylar block to the shaft are described here. The advantages of double tension band wiring are an easier and faster procedure, less periosteal and muscle damage, and symmetrical compression. The functional results and complications of patients treated by this method are compared with the results of patients treated with plate fixation.
肱骨远端关节内双髁骨折通常采用松质骨螺钉固定髁部骨折块，并使用一块或两块钢板将骨折块固定于骨干。本文介绍了采用双张力带骨固定术代替双钢板固定术将髁部骨折块固定于骨干的方法及结果。双张力带钢丝固定术的优点包括操作更简便快捷、对骨膜和肌肉的损伤更小以及能实现对称加压。将采用该方法治疗的患者的功能结果及并发症与采用钢板固定治疗的患者的结果进行了比较。
