Abstract：Objective: To discuss the clinical efficacy of combined anterior and posterior approach surgery in the treatment of transolecranon fracture-dislocation of the elbow. Methods: 36 patients with transolecranon fracture-dislocation of the elbow treated in the hospital from January 2015 to March 2017 were selected as study subjects, and they were divided into the control group and the study group with 18 cases in each group by the random number table method. The control group was treated by elbow posterior open reduction and internal fixation while the study group was treated by combined anterior and posterior approach surgery. The general situation of surgery, fracture healing, recovery of elbow function (Broberg-Morrey function score) and the incidence of complications in the two groups after surgery were observed. Results:There was no significant difference in the surgical time between the two groups (P>0.05). The intraoperative blood loss and fracture healing time of the study group [(26.49±3.28) mL, (6.09±1.18) weeks] were less or shorter than those of the control group (P<0.05). The fracture healing rate of the study group in 6 months after surgery was higher than that of the control group (100.00% vs 77.78%) (χ2=4.500, P < 0.05). There was no significant difference in Broberg-Morrey scores between the two groups before surgery (P>0.05). After surgery, Broberg-Morrey scores of the two groups increased significantly, and the Broberg-Morrey scores of study group after surgery [(78.82±4.88), (85.34±5.36), (93.32±6.08)] were significantly higher than those of the control group (P<0.05). The incidence of complications in the study group after surgery was significantly lower than that in the control group (27.78% vs 72.22%) (Test value=4.685, P<0.05). Conclusion: The clinical efficacy of combined anterior and posterior approach for the treatment of fracture and dislocation of the olecranon joint is clear, and it has clinical application value.
李富东, 叶阮炷, 李清峰. 前后联合入路手术治疗经鹰嘴肘关节骨折脱位患者的临床分析[J]. 河北医学, 2018, 24(4): 657-660.
LI Fudong, YE Ruanchu, LI Qingfeng. Clinical Analysis of Combined Anterior and Posterior Approach for the treatment of Fracture and Dislocation of the Olecranon Joint. HeBei Med, 2018, 24(4): 657-660.
2018, Vol. 24 
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