[1]方 铭.“T”形双切口锁定钢板内固定治疗老年肱骨近端骨折[J].中医正骨,2016,28(05):46-47.
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“T”形双切口锁定钢板内固定治疗老年肱骨近端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年05期
页码:
46-47
栏目:
临床报道
出版日期:
2016-05-20

文章信息/Info

作者:
方 铭
浙江省荣军医院,浙江 嘉兴 314000
关键词:
肩骨折 肱骨骨折 骨折固定术 老年人
摘要:
目的:探讨“T”形双切口锁定钢板内固定治疗老年肱骨近端骨折的临床疗效和安全性。方法:2014年6月至2015年6月,采用“T”形双切口锁定钢板内固定治疗老年肱骨近端骨折患者30例,男12例、女18例; 年龄60~88岁,中位数75.5岁。骨折Neer分型,Ⅱ型10例、Ⅲ型15例、Ⅳ型5例。均合并骨质疏松症,合并高血压病10例、糖尿病4例。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:本组手术时间45~80 min,中位数57 min; 术中出血量100~200 mL,中位数150 mL。30例患者均获随访,随访时间6~12个月,中位数9个月; 骨折均愈合,骨折愈合时间(64.24±2.35)d。末次随访时,参照美国加州大学肩关节评分系统评价疗效,本组优23例、良5例、差2例。均未发生感染、内固定物松动或断裂等并发症。结论:“T”形双切口锁定钢板内固定治疗老年肱骨近端骨折,创伤小,有利于骨折愈合和肩关节功能恢复,安全可靠。

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更新日期/Last Update: 2016-10-30