摘要
目的介绍有限切开锁定加压钢板内固定加异体骨植入治疗复杂性肱骨干骨折的临床疗效。方法2005年1月至2008年2月，应用有限切开AO锁定加压钢板（10cking compression plate，LCP）加异体骨植入治疗复杂性肱骨干骨折15例，均为粉碎性骨折；按AO分类：属C型骨折，其中2例为肱骨干骨折伴有同侧肱骨近端骨折，5例骨折线延伸至肱骨近端。结果所有患者伤口均工期愈合。术后随访6．40个月，平均21．6个月，骨折愈合时间为12-36周，平均22．5周。2例发生医源性桡神经损伤（占13．3％），与原有的3例桡神经损伤均于术后3个月内完全恢复。肩、肘关节功能恢复良好。结论有限切开锁定加压钢板内固定加异体骨植入是治疗复杂性肱骨干骨折的一种安全、有效的方法。
Objective To evaluate the results of treating complex hmneral shaft fractures using locking compression plate （LCP） and allogenic bone graft via a limited incision approach. Methods Between January 2005 and February 2008, 15 patients with complex humeral shaft fracttues were treated with LCP and bone graft through a limited incision. All cases had comminuted fractures that belonged to type C fractures accosting to AO classification. Two of the shaft fractures were accompanied with proximal humeral fracture. In another 5 fractures the fracture line extended all the way towards the proximal of the humerus. Results Primary wound healing was achieved in all the cases. The patients were follow-up for 6 to 40 months with an average of 21.6 months. Bone union occurred in all patients in 12 to 36 weeks （mean, 22.5 weeks）. Two patients （13.3%） experienced iatrogenic radial nerve palsy which showed complete remission within 3 months. The function of the shoulder and elbow recovered well. Conclusion Limited incision approach LCP fixation and allogenic bone graft is a safe and effective technique for treatment of complex humeral shaft fractures.
出处
《中华手外科杂志》
CSCD
北大核心
2013年第1期1-3,共3页
Chinese Journal of Hand Surgery
关键词
肱骨骨折
骨折固定术
内
锁定加压钢板
Humeral fractures
Fracture flxation, internal
Locking compression plate
