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[1]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):43-45.
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人工肱骨頭置換術(shù)治療老年肱骨近端Neer三、四部分骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年05期
頁碼:
43-45
欄目:
臨床報道
出版日期:
2016-05-20

文章信息/Info

作者:
孫鵬譚磊閻乾陳鋒
廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011
關(guān)鍵詞:
肩骨折 肱骨骨折 人工肱骨頭置換術(shù) 骨質(zhì)疏松
摘要:
目的:探討人工肱骨頭置換術(shù)治療老年肱骨近端Neer三、四部分骨折的臨床療效和安全性。方法:2010年7月至2014年11月收治23例老年肱骨近端骨折患者。男8例,女15例; 年齡66~84歲,中位數(shù)75歲; 左側(cè)9例,右側(cè)14例; Neer三部分骨折13例,四部分骨折10例; 16例合并肩關(guān)節(jié)脫位,5例合并橈骨遠端骨折,1例合并尺橈骨骨折; 均未合并血管、神經(jīng)損傷,均合并不同程度的骨質(zhì)疏松癥。受傷至就診時間1 h至2 d。均采用人工肱骨頭置換術(shù)治療,術(shù)后隨訪觀察肩關(guān)節(jié)功能和并發(fā)癥發(fā)生情況。結(jié)果:本組患者手術(shù)時間90~160 min,中位數(shù)127 min; 術(shù)中出血200~500 mL,中位數(shù)374 mL。所有患者均獲隨訪,隨訪時間15~24個月,中位數(shù)20個月。切口均甲級愈合,術(shù)中未發(fā)生血管、神經(jīng)損傷,術(shù)后未發(fā)生感染、骨水泥過敏、假體脫位、松動及斷裂等并發(fā)癥。末次隨訪時按照Neer肩關(guān)節(jié)功能評分標準評定,優(yōu)9例、良11例、中3例。結(jié)論:采用人工肱骨頭置換術(shù)治療老年肱骨近端Neer三、四部分骨折,可有效恢復(fù)患者的肩關(guān)節(jié)功能,而且具有較高的安全性。

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備注/Memo

備注/Memo:
通訊作者:陳鋒 E-mail:[email protected]
更新日期/Last Update: 2016-10-30