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[1]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):46-47.
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“T”形雙切口鎖定鋼板內(nèi)固定治療老年肱骨近端骨折()
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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:
46-47
欄目:
臨床報(bào)道
出版日期:
2016-05-20

文章信息/Info

作者:
方 銘
浙江省榮軍醫(yī)院,浙江 嘉興 314000
關(guān)鍵詞:
肩骨折 肱骨骨折 骨折固定術(shù)內(nèi) 老年人
摘要:
目的:探討“T”形雙切口鎖定鋼板內(nèi)固定治療老年肱骨近端骨折的臨床療效和安全性。方法:2014年6月至2015年6月,采用“T”形雙切口鎖定鋼板內(nèi)固定治療老年肱骨近端骨折患者30例,男12例、女18例; 年齡60~88歲,中位數(shù)75.5歲。骨折Neer分型,Ⅱ型10例、Ⅲ型15例、Ⅳ型5例。均合并骨質(zhì)疏松癥,合并高血壓病10例、糖尿病4例。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:本組手術(shù)時(shí)間45~80 min,中位數(shù)57 min; 術(shù)中出血量100~200 mL,中位數(shù)150 mL。30例患者均獲隨訪,隨訪時(shí)間6~12個(gè)月,中位數(shù)9個(gè)月; 骨折均愈合,骨折愈合時(shí)間(64.24±2.35)d。末次隨訪時(shí),參照美國(guó)加州大學(xué)肩關(guān)節(jié)評(píng)分系統(tǒng)評(píng)價(jià)療效,本組優(yōu)23例、良5例、差2例。均未發(fā)生感染、內(nèi)固定物松動(dòng)或斷裂等并發(fā)癥。結(jié)論:“T”形雙切口鎖定鋼板內(nèi)固定治療老年肱骨近端骨折,創(chuàng)傷小,有利于骨折愈合和肩關(guān)節(jié)功能恢復(fù),安全可靠。

參考文獻(xiàn)/References:

[1] 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.
[2] Acklin YP,Stoffel K,Sommer C.A prospective analysis of the functional and radiological outcomes of minimally invasive plating in proximal humerus fractures[J].Injury,2013,44(4):456-460.
[3] 劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評(píng)定標(biāo)準(zhǔn)[M].北京:清華大學(xué)出版社,2002:19.
[4] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評(píng)價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:65-66.
[5] Cadet ER,Ahmad CS.Hemiarthroplasty for three- and four-part proximal humerus fractures[J].J Am Acad Orthop Surg,2012,20(1):17-27.
[6] Castricini R,De Benedetto M,Pirani P,et al.Shoulder hemiarthroplasty for fractures of the proximal humerus[J].Musculoskelet Surg,2011,95(1):49-54.
[7] 相道三,吳連國(guó),劉其順.手法復(fù)位杉樹皮夾板固定配合中藥內(nèi)服治療老年肱骨近端骨折[J].中醫(yī)正骨,2014,26(10):52-54.
[8] 喻永新,尚如國(guó).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):39-41.
[9] Boyle MJ,Youn SM,Frampton CM,et al.Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures[J].J Shoulder Elbow Surg,2013,22(1):32-37.
[10] 陳戍國(guó),陳海如.老年肱骨近端骨折的手術(shù)治療效果分析[J].中國(guó)現(xiàn)代藥物應(yīng)用,2015,27(14):46-47.
[11] Sproul RC,Iyengar JJ,Devcic Z,et al.A systematic review of locking plate fixation of proximal humerus fractures[J].Injury,2011,42(4):408-413.
[12] 姜頌軍,楊炯.鎖定鋼板治療老年肱骨近端骨折[J].中醫(yī)正骨,2009,21(3):40.
[13] 張作君,王俊頎,牛素玲,等.585例肱骨近端骨折臨床療效回顧性研究[J].中醫(yī)正骨,2012,24(9):15-19.
[14] Gardner MJ,Griffith MH,Dines JS,et al.The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus[J].Clin Orthop Relat Res,2005,(434):123-129.

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更新日期/Last Update: 2016-10-30