CAJ | 학술논문

目的:评价闭合手法复位经皮插板加压钢板内固定治疗肱骨近端骨折的疗效.方法:应用手法间接复位技术,采用微型切口,通过建立骨折两端皮下隧道用锁定加压钢板内固定治疗肱骨近端骨折33例.结果:31例获得随访,2例失访,平均随访42周.骨折愈合时间为术后13周.肩关节功能按照Neer评分标准,功能优10例,良17例,中4例,优良率87.0%.所有随访病例均无骨折延迟愈合或不愈合,无感染及内固定失败等并发症.结论:闭合手法复位经皮插板加压钢板内固定治疗肱骨近端骨折符合生物力学固定(BO)原则,尤其适用于老年骨质疏松患者,切口及手术创伤小,对肩关节干扰少,内固定简单牢靠,可早期功能锻炼,有利于骨折的愈合及软组织的修复,可以较好的改善肩关节功能.
목적:평개폐합수법복위경피삽판가압강판내고정치료굉골근단골절적료효.방법:응용수법간접복위기술,채용미형절구,통과건립골절량단피하수도용쇄정가압강판내고정치료굉골근단골절33례.결과:31례획득수방,2례실방,평균수방42주.골절유합시간위술후13주.견관절공능안조Neer평분표준,공능우10례,량17례,중4례,우량솔87.0%.소유수방병례균무골절연지유합혹불유합,무감염급내고정실패등병발증.결론:폐합수법복위경피삽판가압강판내고정치료굉골근단골절부합생물역학고정(BO)원칙,우기괄용우노년골질소송환자,절구급수술창상소,대견관절간우소,내고정간단뢰고,가조기공능단련,유리우골절적유합급연조직적수복,가이교호적개선견관절공능.
Objective:To evaluate the clinical effect of manual closing reduction and percataneous compression plate for proximal humerus fracture. Methods: 33 cases of proximal humerus fracture were treated with locking compression plate through indirect manual reduction and creating subcutaeous tunnel at both frature side. Results: 31 cases were followed up for average 42 weeks (2 cases was missed). The fracture healing time was 13 weeks after operation. According to Neer scoring system, the results of the shoulder function were excellent in 10 cases, good in 17, fair in 4.The excellence rate was 87%. All the following cases had no delayed unions, fracture nonunions or complications. Conclusions: Manual closing reduction and percataneous compression plate for proximal humerus fracture complies with Biomechanics principle, especially for the elder osteoporosis patients. Application of Manual closing reduction and percataneous compression plate technique is a superior option for proximal humerus fracture.