中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
2期
26-27
,共2页
小切口%锁定加压钢板%肱骨近端骨折
小切口%鎖定加壓鋼闆%肱骨近耑骨摺
소절구%쇄정가압강판%굉골근단골절
Small incision%Locking compression plate%Proximal humeral fracture
目的 观察小切口入路锁定加压钢板治疗老年肱骨近端骨折的临床疗效.方法 选择老年肱骨近端骨折患者60例.按肱骨近端骨折Neer分型,其中两部分骨折22例,三部分骨折26例,四部分骨折12例.所有患者均采用肩关节前外侧小切口入路锁定加压钢板固定治疗,术后肩肘带悬吊固定,功能锻炼,进行VAS评分,随访观察12个月,进行X线片复查,肩关节功能Neer评分,同时观察不良反应的发生情况.结果 本手术患者术后VAS评分优良率为96.5％,所有患者均完成随访,术后12个月复查X线片示骨折均愈合,未出现肱骨头坏死征象,内固定位置可,未发现内固定松动和断裂.Neer评分优33例,良16例,可9例,差2例,优良率为81.7％.60例患者中6例偶发肩部疼痛,功能锻炼后自行缓解.结论 小切口入路锁定加压钢板治疗老年肱骨近端折患者效果佳,并发症少,可在临床推广.
目的 觀察小切口入路鎖定加壓鋼闆治療老年肱骨近耑骨摺的臨床療效.方法 選擇老年肱骨近耑骨摺患者60例.按肱骨近耑骨摺Neer分型,其中兩部分骨摺22例,三部分骨摺26例,四部分骨摺12例.所有患者均採用肩關節前外側小切口入路鎖定加壓鋼闆固定治療,術後肩肘帶懸弔固定,功能鍛煉,進行VAS評分,隨訪觀察12箇月,進行X線片複查,肩關節功能Neer評分,同時觀察不良反應的髮生情況.結果 本手術患者術後VAS評分優良率為96.5％,所有患者均完成隨訪,術後12箇月複查X線片示骨摺均愈閤,未齣現肱骨頭壞死徵象,內固定位置可,未髮現內固定鬆動和斷裂.Neer評分優33例,良16例,可9例,差2例,優良率為81.7％.60例患者中6例偶髮肩部疼痛,功能鍛煉後自行緩解.結論 小切口入路鎖定加壓鋼闆治療老年肱骨近耑摺患者效果佳,併髮癥少,可在臨床推廣.
목적 관찰소절구입로쇄정가압강판치료노년굉골근단골절적림상료효.방법 선택노년굉골근단골절환자60례.안굉골근단골절Neer분형,기중량부분골절22례,삼부분골절26례,사부분골절12례.소유환자균채용견관절전외측소절구입로쇄정가압강판고정치료,술후견주대현조고정,공능단련,진행VAS평분,수방관찰12개월,진행X선편복사,견관절공능Neer평분,동시관찰불량반응적발생정황.결과 본수술환자술후VAS평분우량솔위96.5％,소유환자균완성수방,술후12개월복사X선편시골절균유합,미출현굉골두배사정상,내고정위치가,미발현내고정송동화단렬.Neer평분우33례,량16례,가9례,차2례,우량솔위81.7％.60례환자중6례우발견부동통,공능단련후자행완해.결론 소절구입로쇄정가압강판치료노년굉골근단절환자효과가,병발증소,가재림상추엄.
Objective To observe the clinical effect of small incision of locking compression plate on proximal humeral fracture in elderly patients.Methods Sixty aged patients with proximal humeral fracture were chose.According to the fracture of the proximal humerus Neer type,two part fractures in 22 cases,three part fractures in 26 cases,four part fractures in 12 cases.All patients were treated with anterior shoulder lateral small incision locking compression plate fixation,postoperative shoulder elbow fixing belt suspension,functional exercise,followed in December,the X scan of the shoulder joint function,Neer score,and adverse reactions were observed.Results All patients completed the followup,12 months after the treatment,X ray results showed that all fractures healed,without humeral head necrosis signs,fixed position,without internal fixation loosening or fracture.The Neer scores were excellent in 33 cases,good in 16 cases,less good in 9 cases,poor in 2 cases,the excellent and good rate was 81.7％.Six cases had incidental shoulder pain,relieved after functional exercise.Conclusions The small incision locking compression plate in treatment of proximal humerus fracture in elderly patients has good effect,less complications,and can be popularized in clinics.
