摘要
目的 探讨经皮锁定钢板内固定在治疗肱骨近端骨折的应用和临床效果.方法 应用经皮锁定钢板内固定治疗32例肱骨近端骨折,其中二部分骨折12例,三部分骨折14例,四部分骨折6例,记录手术时间、出血量、切口长度、术后并发症、骨折愈合时间,采用肩关节Constant评分标准评价疗效.结果 手术时间平均45min;出血量平均85ml;近端切口长度平均4cm;远端切口长度平均2cm;平均随访时间14.5个月,骨折愈合时间平均7周,无腋神经损伤,无复位丢失,随访结束时未发现肱骨头坏死病例.根据肩关节Constant评分标准,优良率84.4%.结论 经皮锁定钢板内固定治疗肱骨近端骨折对血运破坏小,固定牢靠,允许术后早期功能锻炼,在正确掌握手术操作技巧的前提下,是治疗肱骨近端骨折的较好方法 .
Objective To investigate the clinical efficacy of pereutaneous locking compression plate internal fixation in treatment of proximal humerus fractures. Methods Thirty - two cases of proximal humerus fractures including 12 cases of two - part fracture, 14 cases of three - part fracture and 6 cases of four - part fracture according to Neer classification were treated by percutaneous locking compression plate internal fixtion. The operative time, volume of blood loss, incision length, post -operative complications and the time for fracture healing were observed. Constant scoring system was used for functional evaluation. Results The mean surgery duration was 45 min; the average volume of blood loss was approximately 85 mL; the average proximal incision length was 4 cm,the average distal incision length was 2 cm. All the patients were followed up for an average of 14.5 months ,and the average fracture healing time was 7 weeks. No injury of axillary nerve, loss of reduction or avaseular necrosis of humerus head was observed during the follow - up. According to the constant scoring system, the excellent and good rate reached 84.4%. Conclusion Minimally invasive treatment for proximal humerus fractures with percutaneous locking compression plate has the advantages of less interference of blood supply, stable fixation, early functional exercise in the treatment of proximal humerus fractures.
出处
《临床外科杂志》
2010年第9期636-637,共2页
Journal of Clinical Surgery
关键词
肱骨近端骨折
微创手术
锁定钢板
proximal humerus fracture
mini - invasive surgery
locking plate
