尺神经前移在肱骨髁间骨折手术治疗中的应用

目的初步探讨尺神经前移在肱骨远端髁间骨折治疗中的手术方法及效果。方法 29例C型肱骨髁间骨折患者切开复位内固定后全部进行尺神经预见性前移。结果 29例随访患者中追踪8~38个月,平均18个月,术后2~4个月骨折全部愈合。按照Mayo肘关节功能评分标准,优良率79.3%,尺神经功能情况根据Asami评价标准,优19例（65.5%）,良7例（24.1%）,一般2例（6.9%）,差1例（3.4%）,其中3例功能不满意者均为术前既有尺神经损伤症状。结论尺神经前移可作为肱骨远端髁间型骨折手术治疗中的常规治疗方法,可有效避免尺神经麻痹现象发生。

Application of anterior transposition of the ulnar nerve in the intercondylar fracture of humerus

【Objective】Preliminary study of anterior transposition of the ulnar nerve fracture method and effect of operation in the treatment of distal humeral intercondylar. 【Methods】29 cases of type C intercondylar fracture of humerus with open reduction and internal fixation of ulnar nerve after all foreseeable forward. 【Results】29 cases were followed up for medical records in track 8 months ~3 years 2 months, an average of 1 years and 6 months after 2-4 months, all fractures healed. According to the Mayo elbow function score standard, the excellent and good rate was 79.3%, ulnar nerve function according to Asami standard, excellent in 19 cases（65.5%）, good in 7 cases（24.1%）, 2 cases（6.9%）, poor in 1 cases（3.4%）, including 3 cases of function is not satisfactory for preoperative both feet nerve damage symptoms.【Conclusion】Anterior transposition of the ulnar nerve can be used as the intercondylar distal humerus fractures and routine treatment operation treatment, can effectively avoid the occurrence of ulnar nerve paralysis.