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目的 介绍改良尺骨鹰嘴劈开、肱三头肌外缘入路、复位、锁定钛板固定肱骨髁间粉碎性骨折.方法 于尺骨鹰嘴后方将尺骨鹰嘴V形劈开并向后上翻转,自肱三头肌外缘向内牵开并显露肱骨下端,复位、锁定钛板固定肱骨髁间粉碎性骨折.结果 改良尺骨鹰嘴劈开、肱三头肌外缘入路,复位、锁定钛板固定肱骨髁问粉碎性骨折28例,功能恢复良好.结论 改良尺骨鹰嘴劈开、肱三头肌腱外缘入路,复位、锁定钛板固定肱骨髁间粉碎性骨折操作简便,疗效满意,并发症少,值得推广.“,”Objective To recommend the improved operation for treatment of the severe humeral intercondylar fracture, including olecranon osteotomy, approach of outer margin of triceps brachii muscle, reduction and internal fixa-tion by locking titanium plates. Methods The improved operation was used to treat 28 patients with severe humeral in-tercondylar fractures,during which the adsorbable tension band and the locking titanium plate were used. Results All patients were followed up, and it was revealed that the function of elbow joints recovered satisfactorily. Conclusions The improved operation has the advantages of convenient procedure,satisfactory effect and fewer complications,se it is worth using.