组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2018, Vol. 14 ›› Issue (4): 215-218.doi: 10.3969/j.issn.1673-0364.2018.04.010

• 论著 • 上一篇    下一篇

肱骨髁间骨折两种手术入路的比较分析

韦展图，王小平，胡世锵，吴玮伟，陈路遥，黄俭，屠玉民，冯伟力   

  1. 南方医科大学附属小榄医院创伤脊柱外科
  • 收稿日期:2018-03-19 修回日期:2018-05-11 发布日期:2020-07-23

Comparative Analysis of Two Different Surgical Approaches for Humeral Intercondylar Fracture

WEI Zhantu,WANG Xiaoping,HU Shiqiang,WU Weiwei,CHEN Luyao,HUANG Jian,TU Yumin,FENG Weili   

  1. Department of Traumatic Spinal Surgery, Xiaolan Hospital, Southern Medical University
  • Received:2018-03-19 Revised:2018-05-11 Published:2020-07-23

摘要： 目的比较分析肱骨髁间骨折两种手术入路的治疗效果。方法 2015年5月至2017年5月,共72例肱骨髁间骨折患者接受手术,根据采用的手术入路分为内外侧联合入路组(A组,n=36)、尺骨鹰嘴截骨入路组(B组,n=36)。比较分析两组患者的手术时间、术中透视X线暴露时间、并发症发生情况及术后肘关节功能评价。结果 B组的手术时间、X线暴露时间少于A组(P<0.05);B组的并发症发生率低于A组(P<0.05);B组肘关节功能评价及格率明显高于A组(P<0.05)。结论尺骨鹰嘴截骨入路方式治疗肱骨髁间骨折,手术时间少,X线暴露时间少,并发症发生率低,且术后肘关节功能恢复好,优于内外侧联合入路。

关键词: 尺骨鹰嘴截骨入路, 内外侧联合入路, 肱骨髁间骨折, 解剖结构, 生物力学

Abstract: Objective To compare and analyze the therapeutic effect of two surgical approaches in the treatment of humeral intercondylar fracture. Methods From May 2015 to May 2017, a total of 72 patients with humeral intercondylar fracture were treated. According to the method of approach, the patients were divided into 2 groups： olecranon osteotomy approach group （group A, n=36） and medial-lateral approach group （group B, n=36）. The operating time, X-ray exposure time, complications and elbow function assessment were observed and compared between the 2 groups. Results The operating time and X-ray exposure time in the group A were less than those in the group B （P〈0.05）. The incidence of complications in the group A was lower than that in the group B （P〈0.05）. The functional evaluation of the elbow joint in the group A was significantly higher than that in the group B （P〈0.05）. Conclusion The olecranon osteotomy approach in the treatment of humeral intercondylar fracture is superior to the medial -lateral approach with less operating time, X -ray exposure time, complications, and better elbow function recovery.

Key words: Olecranon osteotomy approach, Medial-lateral approach, Humeral intercondylar fracture, Anatomy, Biomechanics

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