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[1]錢平康,徐鋒,孫斌峰,等.肱骨近端內(nèi)鎖定系統(tǒng)固定結(jié)合植骨治療肱骨近端骨折[J].中醫(yī)正骨,2015,27(09):36-37.
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肱骨近端內(nèi)鎖定系統(tǒng)固定結(jié)合植骨治療肱骨近端骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年09期
頁碼:
36-37
欄目:
學(xué)術(shù)探討
出版日期:
2015-09-30

文章信息/Info

作者:
錢平康徐鋒孫斌峰吳曉峰董燚高峰趙一峰
江蘇省昆山市中醫(yī)醫(yī)院,江蘇 昆山 215300
關(guān)鍵詞:
肱骨骨折 肩骨折 骨折固定術(shù)內(nèi)
摘要:
目的:探討肱骨近端內(nèi)鎖定系統(tǒng)固定結(jié)合植骨治療肱骨近端骨折的臨床療效和安全性。方法:2010年3月至2014年8月,應(yīng)用肱骨近端內(nèi)鎖定系統(tǒng)固定結(jié)合植骨治療肱骨近端骨折患者24例,男9例、女15例; 年齡25~66歲,中位數(shù)46歲。骨折類型,Neer二部分骨折4例、三部分骨折12例、四部分骨折8例; 合并肩關(guān)節(jié)脫位2例。受傷至手術(shù)時(shí)間4~15 d,中位數(shù)7 d。術(shù)后隨訪觀察骨折愈合、肩關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:本組自體髂骨植骨9例,人工骨植骨15例; 24例患者均獲隨訪,隨訪時(shí)間6~30個(gè)月,中位數(shù)16個(gè)月; 骨折均愈合,愈合時(shí)間10~14周,中位數(shù)12周。術(shù)后并發(fā)切口感染1例,經(jīng)換藥及應(yīng)用抗生素后切口愈合; 并發(fā)肱骨頭壞死1例,轉(zhuǎn)至外院行半肩關(guān)節(jié)置換術(shù); 并發(fā)肩部疼痛1例,肩關(guān)節(jié)功能稍受限,未行特殊處理; 并發(fā)肩關(guān)節(jié)功能障礙2例,對(duì)日常生活影響不明顯,未行特殊處理。術(shù)后6個(gè)月依據(jù)Constant-Murley肩關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)療效,優(yōu)11例、良8例、可4例、差1例。結(jié)論:肱骨近端內(nèi)鎖定系統(tǒng)固定結(jié)合植骨治療肱骨近端骨折,固定可靠、并發(fā)癥少,有利于骨折愈合和肩關(guān)節(jié)功能恢復(fù)。

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備注/Memo

備注/Memo:
2015-05-27收稿 2015-07-24修回
通訊作者:徐鋒 E-mail:[email protected]
更新日期/Last Update: 2015-09-30