中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2008年
10期
790-793
,共4页
唐康来%谭晓康%吴雪晖%徐格%龚继承%汪华清%谢肇%马树枝%王序全%许建中
唐康來%譚曉康%吳雪暉%徐格%龔繼承%汪華清%謝肇%馬樹枝%王序全%許建中
당강래%담효강%오설휘%서격%공계승%왕화청%사조%마수지%왕서전%허건중
肩骨折%内固定%自锁钢板
肩骨摺%內固定%自鎖鋼闆
견골절%내고정%자쇄강판
Shoulder fractures%Internal fixation%Self-locking plates
目的 介绍肱骨近端内固定系统(proximal humeral internal locking system,PHILOS)白锁钢板治疗肱骨近端骨折的方法并分析其疗效. 方法 本组男19例,女16例;年龄29～92岁,平均53.5岁.所有骨折均按Neer分型标准进行分类,其中二部分骨折19例,三部分骨折15例,四部分骨折1例.手术采用胸人肌-三角肌间隙入路,均采用PHILOS自锁钢板进行固定.术后对所有患者进行平均18.9个月(6～46个月)的临床随访,主要包括X线片和Constant功能评分. 结果 X线片证实所有肱骨近端骨折均得到良好的复位并完全骨性愈合,愈合时间8～12周.最近一次Constant-Murley功能评分:平均89.5分(82～94分).随访期间未发生钢板松动、肱骨头缺血性坏死和需肱关节创伤性关节炎等并发症. 结论 PHILOS自锁钢板是治疗肱骨近端骨折的好方法,具有操作方便、固定可靠、疗效确切及并发症少的优势.
目的 介紹肱骨近耑內固定繫統(proximal humeral internal locking system,PHILOS)白鎖鋼闆治療肱骨近耑骨摺的方法併分析其療效. 方法 本組男19例,女16例;年齡29～92歲,平均53.5歲.所有骨摺均按Neer分型標準進行分類,其中二部分骨摺19例,三部分骨摺15例,四部分骨摺1例.手術採用胸人肌-三角肌間隙入路,均採用PHILOS自鎖鋼闆進行固定.術後對所有患者進行平均18.9箇月(6～46箇月)的臨床隨訪,主要包括X線片和Constant功能評分. 結果 X線片證實所有肱骨近耑骨摺均得到良好的複位併完全骨性愈閤,愈閤時間8～12週.最近一次Constant-Murley功能評分:平均89.5分(82～94分).隨訪期間未髮生鋼闆鬆動、肱骨頭缺血性壞死和需肱關節創傷性關節炎等併髮癥. 結論 PHILOS自鎖鋼闆是治療肱骨近耑骨摺的好方法,具有操作方便、固定可靠、療效確切及併髮癥少的優勢.
목적 개소굉골근단내고정계통(proximal humeral internal locking system,PHILOS)백쇄강판치료굉골근단골절적방법병분석기료효. 방법 본조남19례,녀16례;년령29～92세,평균53.5세.소유골절균안Neer분형표준진행분류,기중이부분골절19례,삼부분골절15례,사부분골절1례.수술채용흉인기-삼각기간극입로,균채용PHILOS자쇄강판진행고정.술후대소유환자진행평균18.9개월(6～46개월)적림상수방,주요포괄X선편화Constant공능평분. 결과 X선편증실소유굉골근단골절균득도량호적복위병완전골성유합,유합시간8～12주.최근일차Constant-Murley공능평분:평균89.5분(82～94분).수방기간미발생강판송동、굉골두결혈성배사화수굉관절창상성관절염등병발증. 결론 PHILOS자쇄강판시치료굉골근단골절적호방법,구유조작방편、고정가고、료효학절급병발증소적우세.
Objective To evaluate the clinical results of proximal humeral internal locking sys-tem(PHILOS)self-locking plates in treatment of proximal humeral fractures. Methods There were 35 patients including 19 males and 16 females(at mean age of 53.5 years,ranging from 29 to 92 years)with proximal humeral fractures treated with PHILOS plate.According to the Neer's classification sys-tem,there were two-part fractures in 19 patients,three-part fractures in 15 and four-part fractures in 1.Surgery was performed with PHILOS serf-locking plate via dehopectoral approach.All patients were fol-lowed up for mean 18.9 months(6-46 months)and evaluated by using Constant score and X-rays. Re-suits X-rays proved that all fractures got good reduction and complete healing during 8-12 weeks.The latest Constant scores was mean 89.5 points(82-94 points).There were no complications including plate loosing.humenral head necrosis or gleno-humeral ioint osteoarthritis. Conclusion PHILOS plate is a good choice for treatment of proximal humeral fractures because of its advantages including easy operation,stable fixation,good clinical results and few complications.
