[1]张国文.肱骨近端锁定接骨板内固定治疗肱骨近端骨折[J].中医正骨,2016,28(08):50-51.
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肱骨近端锁定接骨板内固定治疗肱骨近端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年08期
页码:
50-51
栏目:
临床报道
出版日期:
2016-08-20

文章信息/Info

作者:
张国文
河南省安阳市人民医院,河南 安阳 455000
关键词:
肩骨折 肱骨骨折 肩关节 骨板 骨质疏松
摘要:
目的:探讨肱骨近端锁定接骨板内固定治疗肱骨近端骨折的临床疗效和安全性。方法:2013年1月至2014年2月收治40例肱骨近端骨折患者。男14例,女26例; 年龄50~88岁,中位数70岁; 按Neer分型标准,二部分骨折14例、三部分骨折16例、四部分骨折10例; 受伤至手术时间2~6 d,中位数3 d。经胸大肌和三角肌间隙入路,行肱骨近端锁定接骨板内固定术,术后观察骨折愈合情况、肩关节功能及并发症发生情况。结果:所有患者均顺利完成手术,手术时间(87.2±16.8)min。所有患者均获随访,随访时间12~18个月,中位数16个月。38例患者的骨折在术后8周内愈合,2例延迟愈合。末次随访时按照Neer肩关节功能标准评定,优19例、良17例、中3例、差1例,其中二部分骨折患者Neer评分(85.6±6.8)分、三部分骨折患者Neer评分(88.9±6.7)分、四部分骨折患者Neer评分(84.2±5.6)分。2例发生肩峰撞击征,未出现感染、骨折不愈合、内固定失败等并发症。结论:采用肱骨近端锁定接骨板内固定术治疗肱骨近端骨折,固定牢固、骨折愈合快、肩关节功能恢复好、并发症少。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:张国文 E-mail:879604869@qq.com
更新日期/Last Update: 1900-01-01