[1]刘磊,万春友,全先辉,等.锁定钢板内固定结合肱骨头植骨重建治疗 肱骨近端Neer三、四部分骨折[J].中医正骨,2015,27(10):52-54.
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锁定钢板内固定结合肱骨头植骨重建治疗 肱骨近端Neer三、四部分骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年10期
页码:
52-54
栏目:
临床报道
出版日期:
2015-10-30

文章信息/Info

作者:
刘磊1万春友2全先辉1王晓卫1杨光1朱旭伟3张涛2梅晓龙2
1.天津中医药大学,天津 300193;
2.天津市天津医院,天津 300211;
3.天津医科大学,天津 300070
关键词:
肩骨折 肱骨近端骨折 骨折固定术 骨质疏松 骨移植
摘要:
目的:探讨锁定钢板内固定结合肱骨头植骨重建治疗肱骨近端Neer三、四部分骨折的临床疗效和安全性。方法:2012年12月至2014年1月收治30例肱骨近端骨折患者,男13例、女17例; 年龄35~76岁,中位数54岁; Neer三部分骨折15例、四部分骨折15例。均为单侧闭合性损伤,未合并严重神经损伤。采用锁定钢板内固定结合肱骨头植骨重建治疗,术后随访观察临床疗效和安全性。结果:所有患者均顺利完成手术,未发生重要血管神经损伤。4例发生切口延迟愈合,未发生切口感染。所有患者均获随访,随访时间12~24个月,中位数18个月。所有患者骨折均愈合。1例发生螺钉切割肱骨头现象,未发生钢板及螺钉断裂、肱骨头坏死及骨折畸形愈合等并发症。术后多数患者出现肌肉废用性萎缩,以三角肌及肱二头肌萎缩为主,大部分患者在3个月后基本恢复肌肉功能。术后患肩功能逐渐恢复,按照Constant-Murley肩关节评分量表评定疗效,术后3个月、6个月及12个月时的评分分别为(55.97±10.06)分、(81.37±10.06)分、(86.87±6.90)分。结论:采用锁定钢板内固定结合肱骨头植骨重建治疗肱骨近端Neer三、四部分骨折,骨折端稳定性好、骨折愈合率高、短期内并发症少、肩关节功能恢复满意。

参考文献/References:

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备注/Memo

备注/Memo:
2015-06-24收稿 2015-07-28修回
通讯作者:万春友 E-mail:wanchunyouxs@126.com
更新日期/Last Update: 2015-10-30