CAJ | 학술논문

目的：探讨对肱骨干骨折采用经皮微创钢板内固定技术（MIPPO）治疗的临床方法和疗效。方法自2012年4月至2013年3月期间，昆明医科大学第二附属医院骨科对14例肱骨干骨折患者采用MIPPO技术治疗，男8例，女6例，年龄28～64岁，对其相关资料进行回顾性分析。结果14例患者均得到随访，随访2～12月（平均6个月），切口均Ⅰ期愈合。术后X线片复查示：14例骨折对位对线良好。无桡神经损伤表现，肩关节功能按UCLA评分：优13例，良1例。结论 MIPPO技术治疗肱骨干骨折具有创伤小、并发症少、骨折愈合率高等优点，是安全有效的方法。
목적：탐토대굉골간골절채용경피미창강판내고정기술（MIPPO）치료적림상방법화료효。방법자2012년4월지2013년3월기간，곤명의과대학제이부속의원골과대14례굉골간골절환자채용MIPPO기술치료，남8례，녀6례，년령28～64세，대기상관자료진행회고성분석。결과14례환자균득도수방，수방2～12월（평균6개월），절구균Ⅰ기유합。술후X선편복사시：14례골절대위대선량호。무뇨신경손상표현，견관절공능안UCLA평분：우13례，량1례。결론 MIPPO기술치료굉골간골절구유창상소、병발증소、골절유합솔고등우점，시안전유효적방법。
Objective To discuss the clinical methods and curative effect of minimally invasive percutaneous plate osteosynthesis ( MIPPO) technique applied in the treatment of humeral shaft fractures. Methods A retrospective analysis was applied on 14 patients with humeral fracture underwent the MIPPO operation in our department from April 2012 to March 2013. There were 8 males and 6 females, with their ages ranging from 28 to 64 years. Results Fourteen cases were followed up for 2 months to 12 months (an average of 6 months) . Their incisions got primary healing. The fracture segments got satisfactory reduction with good apposition and alignment radiologically, and the radial never function recovered well. UCLA score concluded as excellent in 13 cases and good in 1 case. Conclusion MIPPO is a safe and effective treatment for the humeral fracture with the benefits of less invasion, fewer complications and higher union rate.