CAJ | 학술논문

目的介绍有限切开锁定加压钢板内固定加异体骨植入治疗复杂性肱骨干骨折的临床疗效.方法 2005年1月至2008年2月,应用有限切开AO锁定加压钢板(locking compression plate,LCP)加异体骨植入治疗复杂性肱骨干骨折15例,均为粉碎性骨折；按AO分类:属C型骨折,其中2例为肱骨干骨折伴有同侧肱骨近端骨折,5例骨折线延伸至肱骨近端.结果所有患者伤口均Ⅰ期愈合.术后随访6～40个月,平均21.6个月,骨折愈合时间为12～36周,平均22.5周.2例发生医源性桡神经损伤(占13.3％),与原有的3例桡神经损伤均于术后3个月内完全恢复.肩、肘关节功能恢复良好.结论有限切开锁定加压钢板内固定加异体骨植入是治疗复杂性肱骨干骨折的一种安全、有效的方法.
목적 개소유한절개쇄정가압강판내고정가이체골식입치료복잡성굉골간골절적림상료효.방법 2005년1월지2008년2월,응용유한절개AO쇄정가압강판(locking compression plate,LCP)가이체골식입치료복잡성굉골간골절15례,균위분쇄성골절；안AO분류:속C형골절,기중2례위굉골간골절반유동측굉골근단골절,5례골절선연신지굉골근단.결과 소유환자상구균Ⅰ기유합.술후수방6～40개월,평균21.6개월,골절유합시간위12～36주,평균22.5주.2례발생의원성뇨신경손상(점13.3％),여원유적3례뇨신경손상균우술후3개월내완전회복.견、주관절공능회복량호.결론 유한절개쇄정가압강판내고정가이체골식입시치료복잡성굉골간골절적일충안전、유효적방법.
Objective To evaluate the results of treating complex humeral shaft fractures using locking compression plate (LCP) and allogenic bone graft via a limited incision approach.Methods Between January 2005 and February 2008,15 patients with complex humeral shaft fractures were treated with LCP and bone graft through a limited incision.All cases had comminuted fractures that belonged to type C fractures according to AO classification.Two of the shaft fractures were accompanied with proximal humeral fracture.In another 5 fractures the fracture line extended all the way towards the proximal of the humerus.Results Primary wound healing was achieved in all the cases.The patients were follow-up for 6 to 40 months with an average of 21.6 months.Bone union occurred in all patients in 12 to 36 weeks (mean,22.5 weeks).Two patients (13.3％) experienced iatrogenic radial nerve palsy which showed complete remission within 3 months.The function of the shoulder and elbow recovered well.Conclusion Limited incision approach LCP fixation and allogenic bone graft is a safe and effective technique for treatment of complex humeral shaft fractures.