实用手外科杂志
實用手外科雜誌
실용수외과잡지
Journal of Practical Hand Surgery
2015年
3期
262-265
,共4页
明新广%明立功%明朝戈%王自方%王新德%孟维娜%乔玉%王明利
明新廣%明立功%明朝戈%王自方%王新德%孟維娜%喬玉%王明利
명신엄%명립공%명조과%왕자방%왕신덕%맹유나%교옥%왕명리
钢板固定%肱骨骨折%接骨术
鋼闆固定%肱骨骨摺%接骨術
강판고정%굉골골절%접골술
Plate fixate%Humerus fracture%Osteopathy
目的:探讨采用微创前置钢板固定(MIAPO)技术治疗肱骨干中段粉碎性骨折的可行性和临床效果。方法2008年9月—2014年4月,对38例肱骨干中段粉碎性骨折采用LCP肱骨前方入路、前侧置入内固定治疗,并观察其疗效。结果本组38例伤口均一期愈合,全部获得随访,随访时间8~70个月,平均26个月。复查X线片示骨折对位对线良好,骨痂出现时间4~10周,平均7周。近期随访肩肘关节功能正常。结论采用MIAPO技术LCP内固定治疗肱骨干中段粉碎性骨折不仅创伤小、术中出血少、术后恢复快,可更快地达到骨性愈合,获得良好的肩肘功能,且具有不显露桡神经和减少医源性桡神经损伤的优点,是治疗肱骨干中段粉碎性骨折的有效方法。
目的:探討採用微創前置鋼闆固定(MIAPO)技術治療肱骨榦中段粉碎性骨摺的可行性和臨床效果。方法2008年9月—2014年4月,對38例肱骨榦中段粉碎性骨摺採用LCP肱骨前方入路、前側置入內固定治療,併觀察其療效。結果本組38例傷口均一期愈閤,全部穫得隨訪,隨訪時間8~70箇月,平均26箇月。複查X線片示骨摺對位對線良好,骨痂齣現時間4~10週,平均7週。近期隨訪肩肘關節功能正常。結論採用MIAPO技術LCP內固定治療肱骨榦中段粉碎性骨摺不僅創傷小、術中齣血少、術後恢複快,可更快地達到骨性愈閤,穫得良好的肩肘功能,且具有不顯露橈神經和減少醫源性橈神經損傷的優點,是治療肱骨榦中段粉碎性骨摺的有效方法。
목적:탐토채용미창전치강판고정(MIAPO)기술치료굉골간중단분쇄성골절적가행성화림상효과。방법2008년9월—2014년4월,대38례굉골간중단분쇄성골절채용LCP굉골전방입로、전측치입내고정치료,병관찰기료효。결과본조38례상구균일기유합,전부획득수방,수방시간8~70개월,평균26개월。복사X선편시골절대위대선량호,골가출현시간4~10주,평균7주。근기수방견주관절공능정상。결론채용MIAPO기술LCP내고정치료굉골간중단분쇄성골절불부창상소、술중출혈소、술후회복쾌,가경쾌지체도골성유합,획득량호적견주공능,차구유불현로뇨신경화감소의원성뇨신경손상적우점,시치료굉골간중단분쇄성골절적유효방법。
Objective To discuss the feasibility and clinical effect of MIAPO technique for middle humerus comminuted fracture. Methods From September 2008 to April 2014, 38 cases with middle humerus comminuted fracture were treated by internal fixation and anterior implant of LCP, through anterior approach of humerus. Results 38 cases of incision obtained primary healing, all cases had been followed up for 8~70 months, average of 26 mouths. X-ray showed good fracture alignment, callus emerges 4~10 weeks later, average of 26 months. shoulder and elbow function was normal in recent follow up. Conclusion MIAPO technique of LCP internal fixation for middle humeru comminuted fracture can not only obtain little trauma, little bleeding during operation, rapid restore, as to obtain rapid osteal healing, good shoulder and elbow function, but can have reduce the incidence of side effect trauma to radial nerve,and needn't appear radial nerve, it is an effective therapy for middle humerus comminuted fracture.