摘要
目的探讨微创加长PHILOS钢板结合植骨术治疗肱骨近段骨折术后骨不连临床疗效。方法分析自2007年2月～2012年2月收治40例肱骨近端骨折术后骨不连患者，分为研究组20例和对照组20例。研究组使用加长PHILOS钢板结合植骨术治疗，男10例，女10例，平均年龄（52．4±10．3）岁，骨不连类型：肥大型6例，营养不良型6例．，萎缩型8例。对照组使用外固定支架治疗，男9例，女11例，平均年龄（55．6±9．8）岁；骨不连类型：肥大型7例，营养不良型7例，萎缩型6例。观察两组患者骨密度、术后并发症发生情况、骨性愈合时间及肩关节功能评分情况。结果研究组在术后并发症发生情况、骨性愈合时间及肩关节功能评分情况等方面优于对照组，差异有统计学意义（P〈0．05）。结论微创加长PHILOS钢板结合植骨术治疗肱骨近端骨折术后骨不连具有创伤小、固定牢固、能够早期功能锻炼的优点，可以达到良好疗效。
Objective To evaluate the clinical research of combining with minimally invasive percutaneous plate os- teosynthesis philos plate and injectable bone for proximal humerus fractures nonunions. Methods From February 2007 to February 2012,40 patients were randomly divided into two groups （n = 20）. The research group were treated by minimally invasive percutaneous plate osteosynthesis philos plate and injectable bone, male l0 cases,female 10 cases, average age （52.4＋10.3）.The control group were treated by external fixed support, male 9 cases, female 11 cases, average age （55.6＋9.8） years. The BMD, postoperative complications, bone healing, Neer score in the two groups were reviewed and compared. Results The research group has ascendant than the control group in the BMD,postoperative complica tions, bone healing, Neer score. There were significant （P 〈 0.05）. Conclusion The research group has the advantages of stable fixation,earlier rehabilitation, and satisfactory functional recovery.
出处
《中国现代医生》
2013年第13期41-43,共3页
China Modern Doctor
基金
浙江省省级继续医学教育项目(2013-04-07-007)
关键词
肱骨近端骨折
经皮钢板内固定技术
加长PHILOS
植骨术
骨不连
Proximal humerus fracture
Minimally invasive percutaneous plate osteosynthesis
PHILOS
Injectable bone
Nonunions
