摘要
目的 探讨锁定加压钢板治疗上肢长管骨干骺端粉碎性骨折的效果。 方法 自 2 0 0 2年 3月至 2 0 0 3年 9月 ,选用锁定加压钢板治疗上肢长管骨干骺端粉碎性骨折 35例。按AO骨折分型 ,其中 11C3型 7例 ,2 1B3型 6例 ,2 3A3型 2例 ,2 3C2型 12例 ,2 3C3型 8例。 结果术后随访 3～ 2 0个月 ,平均 8个月。 35例伤口均Ⅰ期愈合 ,无感染。术后 3～ 4周开始见骨痂生长 ,骨折临床愈合期为 6～ 10周 ,骨折愈合率 10 0 %。功能评定 :肩关节按Constant等标准 ,肘关节按Mayo标准 ,腕关节按NYOH标准 ,优 2 0例 ,良 11例 ,可 3例 ,差 1例 ,优良率为 88%。 结论 锁定加压钢板具有钉 -板角度稳定性强和对骨膜血供损伤小的生物学固定优点 ,根据骨折情况可以选择加压机制。
Objective To evaluate the efficacy of the locking compression plate (LCP) in the treatment of comminuted metaphyseal fractures of the long bone in the upper limbs. Methods Thirty five cases of comminuted metaphyseal fractures of the long bone in the upper limb were treated with the LCP from March 2002 to September 2003.According to AO classification, there were seven cases according with type 11C3, six with 21B3,two with 23A3,12 with 23C2 and eight with 23C3. Results All patients were followed up for mean eight months (3 20 months). All cases were healed at one stage without infection. Obvious bone calluses were found at the third or fourth weeks with clinical wound healing period of 6 10 weeks and with union rate of 100%. According to Constant's standard for shoulder functions, Mayo’s standard for elbow functions and NYOH’s standard for wrist functions, 20 cases were rated as excellent,11 good, three fair and one poor with an excellence rate of 88%. Conclusions The LCP characterized by stable screw plate angle and minor trauma on preiost blood supply for the treatment of comminuted metaphyseal fractures of long bones in the upper limbs, for which a locked internal fixation, a compression plate or both can be applied depending on the fracture status.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2004年第4期223-225,共3页
Chinese Journal of Trauma
