CAJ | 학술논문

目的探讨外固定架联合MIPPO技术治疗肱骨干粉碎性骨折的临床效果及安全性。方法对55例肱骨干粉碎性骨折患者展开回顾性分析，骨折依据AO分型：B型28例，C型27例，利用外固定架的临时固定作用联合MIPPO技术通过LCP内固定实施手术治疗，并对手术情况、骨折愈合功能及并发症等方面评价治疗效果。结果本组病例手术时间为65~110min，平均(85±3.7)min，术中出血100~180ml，平均(153±6.0)ml。所有患者均接受随访，随访时间6~15个月，平均9个月，随访时间结束时患者均获得骨性愈合，6例患者产生桡神经症状，2~3个月均自行恢复，未出现肘关节、肩关节功能障碍及骨折处疼痛症状，所有患者生活恢复正常，患者主观满意度为89.09%。结论外固定架联合MIPPO技术治疗效果显著，是一种治疗肱骨干粉碎性骨折的有效方法。
목적탐토외고정가연합MIPPO기술치료굉골간분쇄성골절적림상효과급안전성。방법대55례굉골간분쇄성골절환자전개회고성분석，골절의거AO분형：B형28례，C형27례，이용외고정가적림시고정작용연합MIPPO기술통과LCP내고정실시수술치료，병대수술정황、골절유합공능급병발증등방면평개치료효과。결과본조병례수술시간위65~110min，평균(85±3.7)min，술중출혈100~180ml，평균(153±6.0)ml。소유환자균접수수방，수방시간6~15개월，평균9개월，수방시간결속시환자균획득골성유합，6례환자산생뇨신경증상，2~3개월균자행회복，미출현주관절、견관절공능장애급골절처동통증상，소유환자생활회복정상，환자주관만의도위89.09%。결론외고정가연합MIPPO기술치료효과현저，시일충치료굉골간분쇄성골절적유효방법。
Objective To explore the external fixates combined MIPPO technique in the treatment of humeral comminuted fracture,ef icacy,and safety.Methods 15 cases of humeral comminuted fracture patients were retrospectively analyzed,fracture based on AO type: type B 8 cases,7 cases of C type,use temporary fixation joint external fixates MIPPO technology by LCP internal fixation surgery treatment,and the operation situation,the fracture healing function aspects such as evaluation of therapeutic ef ect and complications.Results Incident operation time of 65~110 min,an average of (85±3.7)min, intra operative hemor hage from 100 to 180 ml,average (153±6.0)ml.Al the patients were fol owed up,fol ow-up 6~15 months,an average of 9 months,at the end of fol ow-up time patients have got bony healing.2 patients had radial nerve symptoms,2~3 months to restore,not present elbow,shoulder joint dysfunction and fracture pain symptoms,al patients return to normal life, patients' satisfaction was 86.67%.Conclusion The external fixates combined MIPPO technology treatment ef ect is remarkable,and intra operative blood loss,blood supply is smal ,less and less postoperative complications,is a kind of ef ective method for the treatment of humeral comminuted fracture.