摘要
目的比较可吸收螺钉与解剖型锁定钢板固定治疗肱骨大结节骨折的临床疗效。方法 43例肱骨大结节骨折患者随机分为经三角肌入路置入可吸收螺钉内固定治疗组(A组,22例)和切开复位解剖型锁定钢板固定治疗组(B组,21例),比较两组术后临床疗效。结果与B组相比,A组手术时间、术中出血量、住院时间以及骨折愈合时间均减少(P<0.05或P<0.01),术后Constant肩关节功能评分以及肩关节屈曲、过伸、外展、内收等改善幅度略提高(P>0.05)。A组术后优良率高于B组[86.36%(19/22)vs.71.43%(15/21)](P<0.01)。结论可吸收螺钉内固定治疗肱骨大结节骨折的临床疗效优于解剖型锁定钢板固定,具有创伤小、内固定稳定、术后肩关节恢复快等优点。
Objective To compare the clinical efficacy of absorbable screw and anatomic locking plate fixation in the treatment of fracture of greater tuberosity of humerus. Methods Forty-three patients with fracture of greater tuberosity of humerus were randomly divided into two groups of A （treated with absorbable screw fixation via deltoid approach, 22 cases） and B（treated with open reduction and anatomic locking plate fixation, 21 cases）. The clinical outcomes were compared between two groups. Results Compared with group B, the operation time, intraoperative blood loss, hospital stays and healing time were significantly decreased （ P〈0. 05 or P〈0, 01 ）, while Constant score of joint function and improvement of shoulder flexion, extension, abduction and adduction after treatment were slightly increased in group A（P〉0. 05）. The excellence rate in group A was higher than that in group B[86. 36% （19/22） vs. 71.43% （15/21）] （P〈0. 01）. Conclusion Compare with anatomic locking plate fixation, application of absorbable screw fixation in the treatment of fracture of greater tuberosity of humerus can achieve better clinical outcomes with the advantages ofqess trauma, Stabler fixation and faster recovery.
出处
《江苏医药》
CAS
2016年第22期2473-2475,I0001,共4页
Jiangsu Medical Journal
关键词
肱骨大结节骨折
可吸收螺钉
锁定钢板固定
Fracture of greater tuberosity of humerus
Absorbabl%~cr^ew
Locking platefixation
