摘要
目的:探讨肱骨锁定加压钢板(1ocking compression plate,LCP)微创治疗肱骨干骨折的效果。方法:2005年1月～2008年1月于肱骨前方入路下行LCP微创治疗16例肱骨干骨折。男11例,女5例;年龄32～66岁。其中4例摔伤,12例车祸伤。根据AO分型:A型2例,B型l0例,C型4例。桡神经损伤2例。骨折位于肱骨中上段11例,肱骨中下段5例。伤后48h～4d手术,均无开放性骨折。结果:术后均随访6～12个月,平均8.7个月。X线片检查示,骨折均于12～l6周愈合,平均l3.6周。2例桡神经功能术后l2～36周完全恢复,平均14.6周。肩关节功能按Neer评分优9例,良4例,中3例;根据Mayo肘关节评分标准,患者肘关节功能均为优。结论:肱骨前方入路下结合LCP的微创术是一种治疗肱骨干骨折安全有效的方法。
Objective： To investigate an effect of the minimally invasive locking compression plate （LCP） treat the humeral shaft fracture.Methods： 11 males,5 females;32-66 years old, with a humeral shaft fracture were treated with the minimally invasive LCP from Jan 2005 to Jan 2008.12 of the patients were injured in a traffic accident and the remaining 4 were wounded in a fall. According to AO classification,2 fractures were type A, 10 type B, and 4 type C. The radial nerve injury was found in 2 patients. As for the fracture site ,the middle-and （or）the upper-part fracture of the humeral shaft was found in 11 patients, and the middle and （or） lower-part fracture of the humeral shaft was found in 5 patients.The patients underwent the operation in the period from 48 hours to 4 days after the injuries.Results： The patients were followed up 6- 12 months with an average of 8.7 months.The X-ray films showed that the union of fractures was achieved 12-16 weeks, 13.6 weeks on average.The function of the radial nerves recovered completely 12-36 weeks,14.6 weeks on average in 2 patient.According to the Neer Scoring System for the shoulder function evaluation, 9 patients had an excellent result, 4 had a good result and 3 had a fair result. According to the Mayo elbow performance score system 16 patients had an excellent result. Conclusion：The minimally invasive locking compression plate under the anterior humeral approach to treat the humeral shaft fracture is an effective and safe method of the humeral shaft fracture.
出处
《中国当代医药》
2009年第21期34-35,共2页
China Modern Medicine
关键词
肱骨干骨折
微创
钢板内固定
Humeral fracture
Minimally invasive plate
Fixation
