84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]邢金明.切開復(fù)位鎖定鋼板內(nèi)固定術(shù)和人工半肩關(guān)節(jié)置換術(shù) 治療老年肱骨近端復(fù)雜骨折的對比研究[J].中醫(yī)正骨,2015,27(08):11-14.
　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(08):11-14.
點(diǎn)擊復(fù)制

切開復(fù)位鎖定鋼板內(nèi)固定術(shù)和人工半肩關(guān)節(jié)置換術(shù) 治療老年肱骨近端復(fù)雜骨折的對比研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年08期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2015-08-30

文章信息/Info

Title:
A retrospective trial of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients
作者:
邢金明
浙江省杭州市桐廬縣中醫(yī)院,浙江 杭州 311500
Author(s):
XING Jinming
Traditional Chinese Medical Hospital of Tonglu county,Hangzhou 311500,Zhejiang,China
關(guān)鍵詞:
肩骨折;  肱骨骨折;  骨折固定術(shù); 內(nèi);  骨板;  關(guān)節(jié)成形術(shù); 置換;  治療; 臨床研究性
Keywords:
shoulder fractures;  humeral fractures;  fracture fixation; internal;  bone plates;  arthroplasty; replacement;  therapies; investigational
摘要:
目的:比較切開復(fù)位鎖定鋼板內(nèi)固定術(shù)和人工半肩關(guān)節(jié)置換術(shù)治療老年肱骨近端復(fù)雜骨折的臨床療效和安全性。方法:回顧性分析2011年2月至2013年11月收治的47例老年肱骨近端復(fù)雜骨折患者的病例資料,30例采用切開復(fù)位鎖定鋼板內(nèi)固定術(shù)治療(鎖定鋼板組),其余17例采用人工半肩關(guān)節(jié)置換術(shù)治療(關(guān)節(jié)置換組)。比較2組患者的手術(shù)時(shí)間、術(shù)中出血量、Constant-Murley評分及并發(fā)癥發(fā)生率。結(jié)果:2組患者手術(shù)時(shí)間、術(shù)中出血量及Constant-Murley評分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(93.5±10.2)min,(89.2±8.4)min,t=1.476,P=0.147;(267.3±20.6)mL,(261.9±18.4)mL,t=1.023,P=0.312;(63.4±4.2)分,(65.2±3.6)分,t=-0.558,P=0.560]。47例患者均獲隨訪,隨訪時(shí)間12～18個(gè)月,中位數(shù)15個(gè)月。術(shù)后鎖定鋼板組5例發(fā)生內(nèi)固定松動或斷裂、1例發(fā)生肱骨頭壞死,至隨訪結(jié)束時(shí)關(guān)節(jié)置換組未發(fā)生相關(guān)并發(fā)癥; 2組并發(fā)癥發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(P=0.074)。結(jié)論:切開復(fù)位鎖定鋼板內(nèi)固定術(shù)和人工半肩關(guān)節(jié)置換術(shù)均為治療老年肱骨近端復(fù)雜骨折的有效術(shù)式,二者的臨床療效和安全性相當(dāng)。
Abstract:
Objective:To compare the clinical curative effects and safety of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients.Methods:The medical records of 47 old patients with complicated proximal humeral fractures from February 2011 to November 2013 were analyzed retrospectively.Thirty patients(locking plate group)were treated with open reduction and locking plate internal fixation,while the others(hemiarthroplasty group)were treated with artificial shoulder hemiarthroplasty.Then the two groups were compared with each other in operative time,intraoperative blood loss,Constant-Murley scores and complication rates.Results:There was no statistical difference in the operative time,intraoperative blood loss and Constant-Murley scores between the 2 groups(93.5+/-10.2 vs 89.2+/-8.4 min,t=1.476,P=0.147; 267.3+/-20.6 vs 261.9+/-18.4 mL,t=1.023,P=0.312; 63.4+/-4.2 vs 65.2+/-3.6 points,t=-0.558,P=0.560).All patients in the 2 groups were followed up for 12-18 months with a median of 15 months.Loosening or fragmentation of the internal fixators(5 cases)and humeral head necrosis(1 case)were found in the locking plate group after the surgery,while no related complications were found in hemiarthroplasty group during the follow-up period.There was no statistical difference in the complication rate between the 2 groups(P=0.074).Conclusion:Open reduction and locking plate internal fixation is similar to artificial shoulder hemiarthroplasty in the curative effect and safety,and both of them are effective method for treatment of complicated proximal humeral fractures in old patients.

參考文獻(xiàn)/References:

[1] Kumar GN,Sharma G,Sharma V,et al.Surgical treatment of proximal humerus fractures using PHILOS plate[J].Chin J Traumatol,2014,17(5):279-284.
[2] 王亦璁.骨與關(guān)節(jié)損傷[M].4版.北京:人民衛(wèi)生出版社,2007:756-768.
[3] Spross C,Platz A,Rufibach K,et al.The PHILOS plate for proximal humeral fractures--risk factors for complications at one year[J].J Trauma Acute Care Surg,2012,72(3):783-792.
[4] Thanasas C,Kontakis G,Angoules A,et al.Treatment of proximal humerus fractures with locking plates:a systematic review[J].J Shoulder Elbow Surg,2009,18(6):837-844.
[5] 高益斌,童松林,潘方,等.勞氏正骨手法復(fù)位經(jīng)皮鎖定鋼板內(nèi)固定治療老年肱骨近端骨折[J].中醫(yī)正骨,2014,26(11):52-53.
[6] 喻永新,尚如國.切開復(fù)位鎖定鋼板內(nèi)固定治療肱骨近端骨折[J].中醫(yī)正骨,2014,26(9):39-40, 41.
[7] 陸軍,李永剛,吳小濤,等.肩鎖鉤鋼板內(nèi)固定對肩關(guān)節(jié)功能的影響[J].中華損傷與修復(fù)雜志:電子版,2013,8(1):23-26.
[8] Königshausen M,Thierbach A,Kübler L,et al.Die polyaxial-winkelstabile Platte in der Versorgung von 3-und 4-Fragment-Frakturen des Humeruskopfs:objektive Ergebnisse und Patientenzufriedenheit[J].Zeitschrift für Orthopädie und Unfallchirurgie,2015,153(1):51-58.
[9] Tan E,Lie D,Wong MK.Early outcomes of proximal humerus fracture fixation with locking plate and intramedullary fibular strut graft[J].Orthopedics,2014,37(9):e822-e827.
[10] 陳康樂,鄭康偉,陳凱.人工肱骨頭置換術(shù)治療肱骨近端Neer四部分骨折[J].中醫(yī)正骨,2014,26(6):57-59.
[11] Spross C,Platz A,Erschbamer M,et al.Surgical treatment of Neer GroupⅥproximal humeral fractures:retrospective comparison of PHILOS and hemiarthroplasty[J].Clin Orthop Relat Res,2012,470(7):2035-2042.
[12] Olerud P,Tidermark J,Ponzer S,et al.Responsiveness of the EQ-5D in patients with proximal humeral fractures[J].J Shoulder Elbow Surg,2011,20(8):1200-1206.
[13] Tepass A,Blumenstock G,Weise K,et al.Current strategies for the treatment of proximal humeral fractures: an analysis of a survey carried out at 348 hospitals in Germany, Austria, and Switzerland[J].J Shoulder Elbow Surg,2013,22(1):e8-14.
[14] 章軍輝,狄正林,何志勇,等.老年3部分與4部分肱骨近端骨折人工肱骨頭置換與內(nèi)固定治療的病例對照研究[J].中國骨傷,2010,23(6):435-439.
[15] 王德利,阮狄克,殷琦,等.復(fù)雜肱骨近端骨折的手術(shù)治療策略及療效分析[J].中國骨與關(guān)節(jié)損傷雜志,2009,24(11):985-987.
[16] 周立建,王樹金,邱錫定,等.PHILOS鋼板有限切開治療肱骨近端骨折[J].實(shí)用醫(yī)學(xué)雜志,2010,26(13):2374-2376.
[17] 趙亮,王義雋,金大地,等.關(guān)節(jié)鏡下錨釘固定治療肩關(guān)節(jié)Bankart損傷[J].中國內(nèi)鏡雜志,2013,19(12):1304-1307.
[18] 鄭曉勇,任昕宇,趙東升,等.肱骨外科頸骨折合并肩關(guān)節(jié)脫位的手術(shù)治療[J].中國矯形外科雜志,2013,21(24):2471-2474.
[19] Guitton TG,Zurakowski D,van Dijk NC,et al.Incidence and risk factors for the development of radiographic arthrosis after traumatic elbow injuries[J].J Hand Surg Am,2010,35(12):1976-1980.

相似文獻(xiàn)/References:

[1]劉磊,萬春友,全先輝,等.鎖定鋼板內(nèi)固定結(jié)合肱骨頭植骨重建治療 肱骨近端Neer三、四部分骨折[J].中醫(yī)正骨,2015,27(10):52.
[2]任維龍,李剛,許波,等.骨原發(fā)性非霍奇金淋巴瘤1例[J].中醫(yī)正骨,2015,27(02):73.
[3]江濤,史俊德,梁梯.江林主任醫(yī)師運(yùn)用自制彈性牽引器械治療四肢創(chuàng)傷的經(jīng)驗(yàn)總結(jié)[J].中醫(yī)正骨,2016,28(05):70.
[4]蔣擁軍,李克軍,陳佳旭,等.榮肌揉筋手法治療成人肱骨髁間骨折術(shù)后肘關(guān)節(jié)僵硬[J].中醫(yī)正骨,2016,28(06):21.
　JIANG Yongjun,LI Kejun,CHEN Jiaxu,et al.Rongji Roujin(榮肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(08):21.
[5]胡和軍,吳法強(qiáng),鄧雄偉,等.骨皮質(zhì)切剝術(shù)聯(lián)合生龍接骨膠囊口服治療四肢長骨干骨折不愈合[J].中醫(yī)正骨,2016,28(10):64.
[6]王沖,寧凡友.解剖鎖定加壓鋼板內(nèi)固定聯(lián)合自體髂骨板植骨治療肱骨干骨折不愈合[J].中醫(yī)正骨,2017,29(02):62.
[7]姜獻(xiàn),周紅云,許超,等.肱骨近端骨折鋼板內(nèi)固定術(shù)后常見并發(fā)癥的研究進(jìn)展[J].中醫(yī)正骨,2018,30(05):34.
[8]張小白,羅漫麗.應(yīng)用動靜平衡原則指導(dǎo)兒童肱骨髁上骨折術(shù)后功能鍛煉[J].中醫(yī)正骨,2019,31(07):77.
[9]曹慎,曹謙,湯智,等.楊氏手法復(fù)位環(huán)形墊超肘夾板“8”字固定治療兒童移位型肱骨外髁骨折的臨床研究[J].中醫(yī)正骨,2019,31(11):1.
　CAO Shen,CAO Qian,TANG Zhi,et al.A clinical study of Yang's manipulative reduction combined with figure-of-eight fixation with ring-shaped pads and transarticular splints for treatment of displaced humeral lateral condyle fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(08):1.
[10]劉鴻豪,趙云昌,趙春節(jié).閉合復(fù)位改良外側(cè)交叉克氏針內(nèi)固定治療兒童GartlandⅡ、Ⅲ型肱骨髁上骨折的臨床研究[J].中醫(yī)正骨,2019,31(11):7.
　LIU Honghao,ZHAO Yunchang,ZHAO Chunjie.A clinical study of closed reduction and modified lateral cross Kirschner wire internal fixation for treatment of Gartland typeⅡandⅢhumeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(08):7.
[11]盛紅楓,張玉柱.微創(chuàng)鎖定鋼板內(nèi)固定配合中藥內(nèi)服治療肱骨近端骨折[J].中醫(yī)正骨,2015,27(04):49.
[12]孫鵬,譚磊,閻乾,等.人工肱骨頭置換術(shù)治療老年肱骨近端Neer三、四部分骨折[J].中醫(yī)正骨,2016,28(05):43.
[13]方 銘.“T”形雙切口鎖定鋼板內(nèi)固定治療老年肱骨近端骨折[J].中醫(yī)正骨,2016,28(05):46.
[14]張國文.肱骨近端鎖定接骨板內(nèi)固定治療肱骨近端骨折[J].中醫(yī)正骨,2016,28(08):50.
[15]賈柯,徐克武,胡翔.老年肱骨近端骨折分型及臨床治療進(jìn)展[J].中醫(yī)正骨,2017,29(03):24.
[16]柴浩,張磊,孫榮鑫.半關(guān)節(jié)成形術(shù)和反式肩關(guān)節(jié)置換術(shù)治療老年肱骨近端Neer三、四部分骨折的對比研究[J].中醫(yī)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(08):21.
[17]姚華海,孫龍?zhí)?崔龍慷,等.肩峰下前外側(cè)入路與胸大肌三角肌入路鎖定鋼板內(nèi)固定治療老年肱骨近端二、三部分骨折的對比研究[J].中醫(yī)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(08):1.
[18]劉丹瓊.手法復(fù)位杉樹皮夾板固定聯(lián)合補(bǔ)腎活血湯口服 治療老年肱骨近端骨折腎虛血瘀證的臨床研究[J].中醫(yī)正骨,2018,30(08):16.
　LIU Danqiong.A clinical study of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang(補(bǔ)腎活血湯)for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged LIU Danqiong[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):16.
[19]劉凱,尚如國,梁志超,等.老年肱骨近端骨折后肩關(guān)節(jié)功能恢復(fù)的影響因素分析[J].中醫(yī)正骨,2018,30(09):39.
　LIU Kai,SHANG Ruguo,LIANG Zhichao,et al.Analysis of factors influencing shoulder function recovery after proximal humeral fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):39.
[20]李亞楠,張起,古恩鵬.手術(shù)與非手術(shù)治療肱骨近端骨折的Meta分析[J].中醫(yī)正骨,2018,30(09):42.
　LI Yanan,ZHANG Qi,GU Enpeng.Comparison of operative treatment and non-operative treatment for treatment of proximal humeral fractures:a meta analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):42.

備注/Memo

備注/Memo:
2015-05-18收稿 2015-06-11修回
更新日期/Last Update: 2015-08-30