CAJ | 학술논문

目的：探讨MIPPO技术治疗老年骨质疏松性肱骨干骨折的可行性和临床效果。方法采用外侧小切口置入锁定钢板桥接固定治疗21例老年骨质疏松性肱骨干骨折患者。结果手术时间52~80 min；术中出血量120~250 ml,术后无输血。患者伤口全部一期愈合。21例均获随访,时间9~15个月,骨折均愈合,X线片复查骨折对位对线良好。近期随访肩关节ROM：前屈130°~150°、后伸20°~35°、外展140°~165°、内收50°~65°；根据HSS肩关节功能评分评定,优8例,良9例,中3例,差1例。肘关节ROM：伸展5°~15°、屈曲125°~140°；根据Mayo肘关节评分评估,结果为优7例,良12例,中1例,差1例。结论外侧入路置入锁定钢板MIPPO技术创伤小、并发症少、骨愈合率高,是治疗老年肱骨干骨折的有效方法。
목적：탐토MIPPO기술치료노년골질소송성굉골간골절적가행성화림상효과。방법채용외측소절구치입쇄정강판교접고정치료21례노년골질소송성굉골간골절환자。결과수술시간52~80 min；술중출혈량120~250 ml,술후무수혈。환자상구전부일기유합。21례균획수방,시간9~15개월,골절균유합,X선편복사골절대위대선량호。근기수방견관절ROM：전굴130°~150°、후신20°~35°、외전140°~165°、내수50°~65°；근거HSS견관절공능평분평정,우8례,량9례,중3례,차1례。주관절ROM：신전5°~15°、굴곡125°~140°；근거Mayo주관절평분평고,결과위우7례,량12례,중1례,차1례。결론외측입로치입쇄정강판MIPPO기술창상소、병발증소、골유합솔고,시치료노년굉골간골절적유효방법。
Objective To investigate the feasibility and effect of minimally invasive percutaneous plate osteosynthesis ( MIPPO) for old patients with proximal humerus osteoporotic fracture. Methods 21 old patients with proximal hu-merus osteoporotic fracture were treaed by minimally invasive locking plate internal fixation. Results Operation time was 52~80 min;Intraoperative hemorrhage was 120~250 ml. No blood transfusion was required, and all got prima-ry wound healing. The follow-up time was 9~15 months, all patients got union of fracture through X-ray. The func-tion of shoulder joint was forward bending 130°~150°, dorsal flexion 20°~35°, abduction 140°~165°, adduction 50°~65°;According to the HSS shoulder joint fuction scores,the results was excellent in 8 cases, good in 9, fair in 3, and poor in 1. The function of elbow joint were forward bending 125°~140°, dorsal flexion 5°~15°;According to the evaluation of Mayo elbow score,the function of elbow was excellent in 7 cases, good in 12, fair in 1, and poor in 1. Conclusions Minimally invasive locking plate internal fixation for the proximal humerus fractures of old pa-tients is less invasive and less complication with better effect and fracture healing.