目的：研究Herbert 钉固定治疗肱骨远端冠状面剪切骨折的治疗效果。方法：2010 年10 月至201 年
月，采用Herbert 钉固定治疗 例肱骨远端冠状面剪切骨折患者。按Dubberley 分型，Ⅱ型 例，Ⅲ型5 例。均为闭
合性骨折，无合并血管及神经损伤情况。术后 个月测量患者肘关节活动度及对肘关节功能进行Broberg-Morrey
评分。结果：所有患者术后伤口愈合良好，疼痛症状好转消失，无感染情况，骨折对位良好，稳定，内固定无松动，
无神经损伤并发症。术后 个月肘关节活动度平均 .5°，Broberg-Morrey 评分平均 ，均为优良。结论：使用
Herbert 钉固定治疗肱骨远端冠状面剪切骨折既能够对骨折块进行加压，又不会影响肘关节的运动轨迹，肘关节功
能恢复满意，手术效果良好。
Abstract
Objective To investigate the treatment and outcome of distal humeral coronal shear fractures by using Herbert
screw. Methods From October 2010 to September 2013, 8 patients with coronal shear fracture of distal humeral were surgical
treated and fixed with Herbert screws. According to Dubberley classification, type II 3 cases; type III 5 cases. All are Closed
fracture, without Vascular and nerve injury. 3 months after surgery, measure the range of movement and Broberg-Morrey score
of elbow. Result all wound are good healing, pain symptoms disappeared, without infection. The reduction is good, and fracture
are stable, without internal fixation loosening, and no neurological complication. 3 months after surgery, the average range of
movement of elbow is 87.5°; and the average Broberg-Morrey score of is 89, which is excellent. Conclude: To treat the coronal
shear fractures of the distal humerus by using the Herbert screw can obtain ideal surgerical effect such as compressing the
fracture without influence the trail of elbow, satisfied recovery of elbow function.
关键词
肱骨远端 /
冠状面 /
剪切骨折
Key words
distal humeral /
coronal /
shear fracture
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参考文献
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