Objective To study the functional outcomes of elbow joints of plates combined Kirschner wire and tension-band wire,and simple Kirschner wire and tension-band wire after olecranon osteotomy for distal humeral fractures.Methods 68 cases of distal humeral fractures treated by surgical approach of olecranon osteotomy in orthopedic department of our hospital from January 2014 to February 2016 were selected.In the surgical approach of osteotomy,according to the different internal fixation methods,the patients were divided into the observation group and the control group.The observation group was internally fixed by the steel plates combined Kirschener wire and tension-band wire,and the control group was treated with simple Kirschner wire and tension-band wire.Postoperative bone healing time and postoperative elbow functions were retrospectively analyzed.Results In the observation group and the control group,there was no significant difference in postoperative bone healing time (P ＞ 0.05);And the postoperative elbow function score and the excellent and good rate of the observation group were better than that of the control group (P ＜ 0.05).Conclusion In the treatment of fractures of the distal humerus by olecranon osteotomy approach,the use of additional olecranon plates and tension-band fixation is more conducive to the improvement of elbow joint function,and can promote the postoperative recovery.It is worth further clinical application.%目的 研究探讨钢板附加克氏针张力带钢丝内固定与单纯克氏针张力带钢丝内固定两种不同固定方法对肱骨远端骨折鹰嘴截骨术后肘关节功能的影响. 方法 回顾性分析我院2014年1月至2016年2月骨科诊治的肱骨远端骨折经鹰嘴截骨手术的患者68例,依据不同的鹰嘴内固定方法分为观察组(35例)和对照组(33例),观察组为钢板附加克氏针张力带钢丝内固定,对照组为单纯克氏针张力带钢丝内固定.回顾性分析入选患者的临床资料及随访结果,观察与比较两组患者的术后骨愈合情况和术后肘关节功能恢复情况. 结果 观察组与对照组术后骨愈合时间分别为(14.21±1.06)周和(14.56±1.29)周,组间比较无明显差异(P＞0.05);而观察组患者的术后肘关节功能评分为优者18例,为良者14例,优良率为91.43％,明显优于对照组患者(优14例,良12例,优良率78.79％),其差异具有统计学意义(P＜0.05). 结论 在肱骨远端骨折的治疗中用尺骨鹰嘴钢板附加张力带钢丝固定方法固定鹰嘴,更有利于改善患者肘关节功能状态,促进肘关节功能恢复,值得临床上进一步应用推广.
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