[1]钱平康,徐锋,孙斌峰,等.肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折[J].中医正骨,2015,27(09):36-37.
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肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年09期
页码:
36-37
栏目:
学术探讨
出版日期:
2015-09-30

文章信息/Info

作者:
钱平康徐锋孙斌峰吴晓峰董燚高峰赵一峰
江苏省昆山市中医医院,江苏 昆山 215300
关键词:
肱骨骨折 肩骨折 骨折固定术
摘要:
目的:探讨肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折的临床疗效和安全性。方法:2010年3月至2014年8月,应用肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折患者24例,男9例、女15例; 年龄25~66岁,中位数46岁。骨折类型,Neer二部分骨折4例、三部分骨折12例、四部分骨折8例; 合并肩关节脱位2例。受伤至手术时间4~15 d,中位数7 d。术后随访观察骨折愈合、肩关节功能恢复及并发症发生情况。结果:本组自体髂骨植骨9例,人工骨植骨15例; 24例患者均获随访,随访时间6~30个月,中位数16个月; 骨折均愈合,愈合时间10~14周,中位数12周。术后并发切口感染1例,经换药及应用抗生素后切口愈合; 并发肱骨头坏死1例,转至外院行半肩关节置换术; 并发肩部疼痛1例,肩关节功能稍受限,未行特殊处理; 并发肩关节功能障碍2例,对日常生活影响不明显,未行特殊处理。术后6个月依据Constant-Murley肩关节功能评分标准评价疗效,优11例、良8例、可4例、差1例。结论:肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折,固定可靠、并发症少,有利于骨折愈合和肩关节功能恢复。

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备注/Memo

备注/Memo:
2015-05-27收稿 2015-07-24修回
通讯作者:徐锋 E-mail:xufeng335720@sina.com
更新日期/Last Update: 2015-09-30