中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2011年
10期
937-939
,共3页
任世祥%林源%曲铁兵%王志为%张博
任世祥%林源%麯鐵兵%王誌為%張博
임세상%림원%곡철병%왕지위%장박
肱骨骨折,近端%骨折固定术,内%治疗效果
肱骨骨摺,近耑%骨摺固定術,內%治療效果
굉골골절,근단%골절고정술,내%치료효과
Hurneral fractures,proximal%Fracture fixation,internal%Treatment outcome
目的 探讨交锁髓内钉与锁定钢板治疗肱骨近端骨折的近期疗效.方法 对2003年1月至2008年6月应用交锁髓内钉与锁定钢板治疗的36例肱骨近端骨折患者进行回顾性研究,男11例,女25例；年龄26～78岁,平均60.3岁.根据治疗方法不同分为交锁髓内钉组(21例)与锁定钢板组(15例).按Neer分型:交锁髓内钉组:Ⅱ型6例,Ⅲ型13例,Ⅳ型2例；锁定钢板组:Ⅱ型4例,Ⅲ型8例,Ⅳ型3例.记录切口长度、手术时间、出血量,观察骨折愈合时间、功能恢复,并进行统计学分析.结果 所有患者术后获6～24个月(平均15.3个月)随访,两组平均切口长度、手术时间、术中出血量比较差异有统计学意义(P＜0 05),两组骨折平均愈合时间比较差异无统计学意义(P＞0.05),肩关节功能恢复交锁髓内钉组优于锁定钢板组,比较差异无统计学意义(P＞0.05).结论 交锁髓内钉和锁定钢板治疗肱骨近端骨折均可获得较好效果,但交锁髓内钉固具有创伤小、操作简易的优点,是一种值得推广的治疗方法.
目的 探討交鎖髓內釘與鎖定鋼闆治療肱骨近耑骨摺的近期療效.方法 對2003年1月至2008年6月應用交鎖髓內釘與鎖定鋼闆治療的36例肱骨近耑骨摺患者進行迴顧性研究,男11例,女25例；年齡26～78歲,平均60.3歲.根據治療方法不同分為交鎖髓內釘組(21例)與鎖定鋼闆組(15例).按Neer分型:交鎖髓內釘組:Ⅱ型6例,Ⅲ型13例,Ⅳ型2例；鎖定鋼闆組:Ⅱ型4例,Ⅲ型8例,Ⅳ型3例.記錄切口長度、手術時間、齣血量,觀察骨摺愈閤時間、功能恢複,併進行統計學分析.結果 所有患者術後穫6～24箇月(平均15.3箇月)隨訪,兩組平均切口長度、手術時間、術中齣血量比較差異有統計學意義(P＜0 05),兩組骨摺平均愈閤時間比較差異無統計學意義(P＞0.05),肩關節功能恢複交鎖髓內釘組優于鎖定鋼闆組,比較差異無統計學意義(P＞0.05).結論 交鎖髓內釘和鎖定鋼闆治療肱骨近耑骨摺均可穫得較好效果,但交鎖髓內釘固具有創傷小、操作簡易的優點,是一種值得推廣的治療方法.
목적 탐토교쇄수내정여쇄정강판치료굉골근단골절적근기료효.방법 대2003년1월지2008년6월응용교쇄수내정여쇄정강판치료적36례굉골근단골절환자진행회고성연구,남11례,녀25례；년령26～78세,평균60.3세.근거치료방법불동분위교쇄수내정조(21례)여쇄정강판조(15례).안Neer분형:교쇄수내정조:Ⅱ형6례,Ⅲ형13례,Ⅳ형2례；쇄정강판조:Ⅱ형4례,Ⅲ형8례,Ⅳ형3례.기록절구장도、수술시간、출혈량,관찰골절유합시간、공능회복,병진행통계학분석.결과 소유환자술후획6～24개월(평균15.3개월)수방,량조평균절구장도、수술시간、술중출혈량비교차이유통계학의의(P＜0 05),량조골절평균유합시간비교차이무통계학의의(P＞0.05),견관절공능회복교쇄수내정조우우쇄정강판조,비교차이무통계학의의(P＞0.05).결론 교쇄수내정화쇄정강판치료굉골근단골절균가획득교호효과,단교쇄수내정고구유창상소、조작간역적우점,시일충치득추엄적치료방법.
Objective To compare efficacy between the interlocking intramedullary nail and the locking plate in the treatment of humerus surgical neck fractures.Methods From January 2003 through June 2008,36 patients with humerus surgical neck fracture were randomized into an interlocking intramedullary nail group (21 cases ) and a locking plate group ( 15 cases).They were 11 males and 25 females,with an average age of 60.3 years (range,26 to 78 years).According to the Neer system,there were 6 cases of type Ⅱ,13 cases of type Ⅲ and 2 cases of type IV in the nail group,while there were 4 cases of type Ⅱ,8 cases of type Ⅲ and 3 cases of type IV in the plate group.The data of wound length,operative time,intra-operative blood loss,fracture healing time and functional recovery were recorded and analyzed statistically.Results The follow-up periods ranged from 6 to 24 months (average,15.3 months).There were significant differences between the 2groups( P ＜ 0.05 ) in wound length,operative time and intra-operative blood loss,but the average fracture healing time was not significantly different between the groups( P ＞ 0.05).The functional recovery was better in the intramedullary nail group than in the locking plate group but with no significance( P ＞ 0.05).Conclusion Although both theinterlocking intramedullary nail and the locking plate are similarly effective in the treatment of humerus surgical neck fractures,the former has an advantage in operative invasion and manipulative simplicity.
