[1]韩葛峰,李辉,史占雷,等.小切口可吸收螺钉联合缝合锚钉内固定治疗肱骨大结节骨折[J].中医正骨,2020,32(12):56-59.
点击复制

小切口可吸收螺钉联合缝合锚钉内固定治疗肱骨大结节骨折()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年12期
页码:
56-59
栏目:
临床报道
出版日期:
2020-12-20

文章信息/Info

作者:
韩葛峰; 李辉; 史占雷; 王轼伦; 赵晓南; 王顺义
(保定市第一中心医院,河北 保定 071000)
关键词:
肩骨折;  肱骨大结节;  骨折固定术; 内;  可吸收螺钉;  缝合锚
摘要:
目的:观察小切口可吸收螺钉联合缝合锚钉内固定治疗肱骨大结节骨折的临床疗效。方法:2017年1月至2020年1月,采用小切口可吸收螺钉联合缝合锚钉内固定治疗肱骨大结节骨折患者18例。男10例,女8例; 年龄25～55岁,中位数39岁; 左侧5例,右侧13例。合并肩关节脱位12例,且肩关节脱位复位后肱骨大结节移位均大于5 mm。术后观察骨折愈合情况,并采用Constant-Murley肩关节评分标准评价疗效。结果:所有患者均获随访,随访时间3～12个月,中位数6个月。切口均甲级愈合。骨折均愈合,愈合时间6～15周,中位数8周。术后12周,本组患者Constant-Murley肩关节评分(90.00±5.00)分,优15例、良3例。结论:采用小切口可吸收螺钉联合缝合锚钉内固定治疗肱骨大结节骨折,骨折愈合率高,有利于肩关节功能的恢复,值得临床推广应用。

参考文献/References:

[1] BOGDAN Y,GAUSDEN E B,ZBEDA R,et al.An alternative technique for greater tuberosity fractures:use of the mesh plate[J].Arch Orthop Trauma Surg,2017,137(8):1067-1070.
[2] CHEN Y F,ZHANG W,CHEN Q,et al.AO X-shaped midfoot locking plate to treat displaced isolated greater tuberosity fractures[J].Orthopedics,2013,36(8):e995-999.
[3] YIAN E H,RAMAPPA A J,ARNEBERG O,et al.The constant score in normal shoulders[J].J Shoulder Elbow Surg,2005,14(2):128-133.
[4] 田子睿,姚敏,王拥军,等.中文版Constant-Murley肩关节评分量表的研制与应用[J].中医正骨,2019,31(5):20-21.
[5] WHITE E A,SKALSKI M R,PATEL D B,et al.Isolated greater tuberosity fractures of the proximal humerus:anatomy,injury patterns,multimodality imaging,and approach to management[J].Emerg Radiol, 2018,25(3):235-246.
[6] YOON T H,CHOI C H,CHOI Y R,et al.Clinical outcomes of minimally invasive open reduction and internal fixation by screw and washer for displaced greater tuberosity fracture of the humerus[J].J Shoulder Elbow Surg, 2018,27(6):e173-e177.
[7] ROULEAU D M,MUTCH J,LAFLAMME G Y.Surgical treatment of displaced greater tuberosity fractures of the humerus[J].J Am Acad Orthop Surg,2016,24(1):46-56.
[8] PLATZER P,KUTSCHA-LISSBERG F,LEHR S,et al.The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity[J].Injury,2005,36(10):1185-1189.
[9] NEER C S 2nd.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[10] MULLER M E,NAZARIAN S,KOCH P,et al.The comprehensive classification of fractures of long bones[J].J Bone Joint Surg Br,1990,73(4):636-637.
[11] MUTCH J,LAFLAMME G Y,HAGEMEISTER N,et al.A new morphological classification for greater tuberosity fractures of the proximal humerus:validation and clinical implications[J].Bone Joint J, 2014,96-B(5):646-651.
[12] 周定,牛磊,张浩.单纯性肱骨大结节骨折治疗进展[J].沈阳医学院学报,2019,21(1):75-78.
[13] 龙成,项舟,钟刚,等.切开复位锁定加压钩钢板治疗单纯肱骨大结节骨折疗效分析[J].中国修复重建外科杂志,2019,33(4):436-439.
[14] HU C,ZHOU K,PAN F,et al.Application of pre-contoured anatomic locking plate for treatment of humerus split type greater tuberosity fractures:A prospective review of 68 cases with an average follow-up of 2.5 years[J].Injury,2018,49(6):1108-1112.
[15] BRAUNSTEIN V,WIEDEMANN E,PLITZ W,et al.Operative treatment of greater tuberosity fractures of the humerus—a biomechanical analysis[J].Clin Biomech(Bristol,Avon),2007,22(6):652-657.
[16] GRUSON K I,RUCHELSMAN D E,TEJWANI N C.Isolated tuberosity fractures of the proximal humeral:current concepts[J].Injury,2008,39(3):284-298.
[17] 王雨辰,刘百伟,王晖.新型加压钩板治疗肱骨大结节撕脱型骨折的临床疗效评价[J].中国矫形外科杂志,2019, 27(16):1477-1481.
[18] 邹鹏.钢板和空心螺钉置入修复劈裂型肱骨大结节骨折对患者关节功能的影响对比[J].临床研究,2019,27(3):41-42.
[19] 唐诗添,刘刚,石波,等.肩关节镜下张力带缝合技术治疗肱骨大结节骨折早期疗效分析[J].中华肩肘外科电子杂志,2020,8(2):135-139.
[20] 丘天雄,陈永田,王超平.关节镜手术治疗急性肩关节前脱位合并单纯肱骨大结节骨折的临床效果[J].中外医学研究,2019,17(35):168-170.

相似文献/References:

[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.
[2]邢金明.切开复位锁定钢板内固定术和人工半肩关节置换术 治疗老年肱骨近端复杂骨折的对比研究[J].中医正骨,2015,27(08):11.
　XING Jinming.A retrospective trial of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):11.
[3]盛红枫,张玉柱.微创锁定钢板内固定配合中药内服治疗肱骨近端骨折[J].中医正骨,2015,27(04):49.
[4]孙鹏,谭磊,阎乾,等.人工肱骨头置换术治疗老年肱骨近端Neer三、四部分骨折[J].中医正骨,2016,28(05):43.
[5]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.
[6]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.
[7]贾柯,徐克武,胡翔.老年肱骨近端骨折分型及临床治疗进展[J].中医正骨,2017,29(03):24.
[8]柴浩,张磊,孙荣鑫.半关节成形术和反式肩关节置换术治疗老年肱骨近端Neer三、四部分骨折的对比研究[J].中医正骨,2017,29(07):21.
　CHAI Hao,ZHANG Lei,SUN Rongxin.A comparative study of hemiarthroplasty versus reverse shoulder arthroplasty for treatment of Neer 3-part and 4-part proximal humeral fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):21.
[9]姚华海,孙龙泰,崔龙慷,等.肩峰下前外侧入路与胸大肌三角肌入路锁定钢板内固定治疗老年肱骨近端二、三部分骨折的对比研究[J].中医正骨,2017,29(09):1.
　YAO Huahai,SUN Longtai,CUI Longkang,et al.A comparative study of locking plate internal fixation through subacromial anterolateral approach versus ectopectoralis-deltoid approach for treatment of Neer 2-part and 3-part proximal humeral fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):1.
[10]姜献,周红云,许超,等.肱骨近端骨折钢板内固定术后常见并发症的研究进展[J].中医正骨,2018,30(05):34.

更新日期/Last Update: 2020-12-20