中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
52期
9011-9016
,共6页
陈立%赵弟庆%杨广忠%陈刚
陳立%趙弟慶%楊廣忠%陳剛
진립%조제경%양엄충%진강
骨关节植入物%骨科植入物%锁定接骨板%肱骨近端骨折%内固定%老年人
骨關節植入物%骨科植入物%鎖定接骨闆%肱骨近耑骨摺%內固定%老年人
골관절식입물%골과식입물%쇄정접골판%굉골근단골절%내고정%노년인
humerus%humeral fractures%internal fixators%aged
背景：肱骨近端内固定锁定系统(proximal humeral internal locking system，PHILOS)和肱骨近端锁定钢板(locking proximal humerus plate，LPHP)均作为内固定锁定钢板，用于治疗肱骨近端骨折疗效显著，但目前尚不能肯定PHILOS和LPHP治疗老年肱骨近端骨折哪个更具优势？<br> 目的：探讨比较PHILOS和 LPHP这两种锁定板治疗老年肱骨近端骨折的近期疗效。<br> 方法：回顾性分析具有完整随访资料的61例老年肱骨近端骨折患者，根据不同治疗方法分为 LPHP 治疗组(n=27)和PHILOS治疗组(n=34)。均根据Neer分类，LPHP组二部分骨折7例，三部分骨折11例，四部分骨折9例；PHILOS组二部分骨折9例，三部分骨折14例，四部分骨折11例。记录手术时间、出血量、引流量，观察骨折愈合时间、功能恢复、并发症，并进行统计学分析。<br> 结果与结论：61例患者全部获得随访，随访时间12-36个月(平均20.6个月)，PHILOS组和LPHP组手术时间、出血量、引流量，观察骨折愈合时间、功能恢复、并发症比较，差异并无显著性意义(P>0.05)。PHILOS和LPHP治疗老年肱骨近端骨折均可获得良好的效果，随访1年时优良率分别为81.5%，82.4%；具有固定可靠、并发症少、满意率高等优点，两种锁定板目前具有较高的临床应用价值，是治疗移位和不稳定老年肱骨近端骨折有效的切开复位内置物。
揹景：肱骨近耑內固定鎖定繫統(proximal humeral internal locking system，PHILOS)和肱骨近耑鎖定鋼闆(locking proximal humerus plate，LPHP)均作為內固定鎖定鋼闆，用于治療肱骨近耑骨摺療效顯著，但目前尚不能肯定PHILOS和LPHP治療老年肱骨近耑骨摺哪箇更具優勢？<br> 目的：探討比較PHILOS和 LPHP這兩種鎖定闆治療老年肱骨近耑骨摺的近期療效。<br> 方法：迴顧性分析具有完整隨訪資料的61例老年肱骨近耑骨摺患者，根據不同治療方法分為 LPHP 治療組(n=27)和PHILOS治療組(n=34)。均根據Neer分類，LPHP組二部分骨摺7例，三部分骨摺11例，四部分骨摺9例；PHILOS組二部分骨摺9例，三部分骨摺14例，四部分骨摺11例。記錄手術時間、齣血量、引流量，觀察骨摺愈閤時間、功能恢複、併髮癥，併進行統計學分析。<br> 結果與結論：61例患者全部穫得隨訪，隨訪時間12-36箇月(平均20.6箇月)，PHILOS組和LPHP組手術時間、齣血量、引流量，觀察骨摺愈閤時間、功能恢複、併髮癥比較，差異併無顯著性意義(P>0.05)。PHILOS和LPHP治療老年肱骨近耑骨摺均可穫得良好的效果，隨訪1年時優良率分彆為81.5%，82.4%；具有固定可靠、併髮癥少、滿意率高等優點，兩種鎖定闆目前具有較高的臨床應用價值，是治療移位和不穩定老年肱骨近耑骨摺有效的切開複位內置物。
배경：굉골근단내고정쇄정계통(proximal humeral internal locking system，PHILOS)화굉골근단쇄정강판(locking proximal humerus plate，LPHP)균작위내고정쇄정강판，용우치료굉골근단골절료효현저，단목전상불능긍정PHILOS화LPHP치료노년굉골근단골절나개경구우세？<br> 목적：탐토비교PHILOS화 LPHP저량충쇄정판치료노년굉골근단골절적근기료효。<br> 방법：회고성분석구유완정수방자료적61례노년굉골근단골절환자，근거불동치료방법분위 LPHP 치료조(n=27)화PHILOS치료조(n=34)。균근거Neer분류，LPHP조이부분골절7례，삼부분골절11례，사부분골절9례；PHILOS조이부분골절9례，삼부분골절14례，사부분골절11례。기록수술시간、출혈량、인류량，관찰골절유합시간、공능회복、병발증，병진행통계학분석。<br> 결과여결론：61례환자전부획득수방，수방시간12-36개월(평균20.6개월)，PHILOS조화LPHP조수술시간、출혈량、인류량，관찰골절유합시간、공능회복、병발증비교，차이병무현저성의의(P>0.05)。PHILOS화LPHP치료노년굉골근단골절균가획득량호적효과，수방1년시우량솔분별위81.5%，82.4%；구유고정가고、병발증소、만의솔고등우점，량충쇄정판목전구유교고적림상응용개치，시치료이위화불은정노년굉골근단골절유효적절개복위내치물。
BACKGROUND:Proximal humeral internal locking system (PHILOS) and locking proximal humerus plate (LPHP) are both new types of internal fixation plates, and have satisfactory effects in the treatment of proximal humerus fractures. However, which is better? <br> OBJECTIVE:To compare the short-term efficacy of PHILOS and LPHP in the treatment of elderly patients with proximal humeral fractures. <br> METHODS:The fol ow-up data of 61 elderly patients with proximal humeral fractures were retrospectively analyzed. The patients were divided into PHILOS group (n=34) and LPHP group (n=27). According to the Neer system, there were two parts of fractures in seven cases, three parts of fractures in 11 cases, four parts of fractures in nine cases in LPHP group;there were two parts of fractures in nine cases, three parts of fractures in 14 cases, four parts of fractures in 11 cases in PHILOS group. The operation time, blood loss, and drainage volume were recorded. The time of fracture healing, functional recovery, and complications were observed. Statistical analysis was performed. <br> RESULTS AND CONCLUSION:Al 61 patients were fol owed up for 12-36 months (mean 20.6 months). There was no statistical difference in operation time, blood loss, drainage volume, time of fracture healing, functional recovery and complications between the two groups (P>0.05). Both LPHP and PHILOS groups could obtain good effects in treatment of senile proximal humeral fractures. The excellent and good rate was respectively 81.5%and 82.4%in two groups. They have advantages of reliable fixation, few complications, and high satisfaction rate. Currently these locking plates have a high clinical value and can be considered as useful implants for ORIF of displaced and unstable proximal humeral fractures.
