[1]余斌峰,王伟良,林锡鹏.加长型肱骨近端内固定锁定系统治疗肱骨干骨折 合并同侧肱骨近端骨折[J].中医正骨,2015,27(08):23-25.
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加长型肱骨近端内固定锁定系统治疗肱骨干骨折 合并同侧肱骨近端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年08期
页码:
23-25
栏目:
临床报道
出版日期:
2015-08-30

文章信息/Info

作者:
余斌峰王伟良林锡鹏
浙江省瑞安市人民医院,浙江 瑞安 325200
关键词:
肱骨骨折 肩骨折 骨折固定术
摘要:
目的:探讨加长型肱骨近端内固定锁定系统(proximal humerus internal locking system,PHILOS)治疗肱骨干骨折合并 同侧肱骨近端骨折的临床疗效。方法:2009年1月至2012年2月收治19例肱骨干骨折合并同侧肱骨近端骨折患者,男14例、女5例; 年龄31~75岁,中位数50岁; 左侧7例,右侧12例; 车祸伤16例,摔伤或者坠落伤3例。肱骨干骨折按AO分型,A1型9例、B1型3例、 B3型2例、C1型3例、C3型2例; 肱骨近端骨折按Neer分型,一部分骨折11例、二部分骨折8例。1例合并颅脑外伤,2例合并同侧尺 、桡骨骨折,2例合并多发性肋骨骨折,2例合并胫骨骨折。均为新鲜闭合骨折,未合并桡神经损伤。均采用加长型PHILOS钢板内 固定治疗,术后采用Constant-Murley肩关节评分标准评定疗效。双侧评分进行对比计算恢复率,恢复率=患侧评分/健侧评分 ×100%,恢复率>80%为优、60%≤恢复率≤80%为良、恢复率<60%为差。结果:本组患者均顺利完成手术,术中未发生 桡神经损伤。所有患者均获随访,随访时间10~37个月,中位数24个月。骨折均达到临床愈合标准,愈合时间12~41周,中位数15 周。末次随访时患侧肩关节上举角度为150°±15°,患侧Constant-Murley评分(87±5)分。患侧Constant-Murley评 分与健侧对比,优17例、良2例。结论:采用加长型PHILOS钢板治疗肱骨干骨折合并同侧肱骨近端骨折,固定牢固,有利于骨折愈 合及肩关节功能恢复。

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备注/Memo

备注/Memo:
2015-06-10收稿 2015-07-29修回
基金项目:瑞安市科技计划项目(20120375)
通讯作者:余斌峰 E-mail:695326161@qq.com
更新日期/Last Update: 2015-08-30