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[1]唐劍邦,吳宇峰,高大偉,等.切開復(fù)位肱骨近端鎖定鋼板內(nèi)固定治療 陳舊性肩關(guān)節(jié)后脫位合并肱骨近端骨折[J].中醫(yī)正骨,2015,27(10):49-51.
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切開復(fù)位肱骨近端鎖定鋼板內(nèi)固定治療 陳舊性肩關(guān)節(jié)后脫位合并肱骨近端骨折()
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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10期
頁碼:
49-51
欄目:
臨床報(bào)道
出版日期:
2015-10-30

文章信息/Info

作者:
唐劍邦吳宇峰高大偉鄭曉明鄭煒宏何君源
廣東省中山市中醫(yī)院,廣東 中山 528400
關(guān)鍵詞:
肩脫位 肩骨折 骨折固定術(shù)內(nèi) 肱骨近端鎖定鋼板
摘要:
目的:觀察切開復(fù)位肱骨近端鎖定鋼板內(nèi)固定治療陳舊性肩關(guān)節(jié)后脫位合并肱骨近端骨折的臨床療效和安全性。方法:2006年1月至2014年5月,采用切開復(fù)位肱骨近端鎖定鋼板內(nèi)固定治療陳舊性肩關(guān)節(jié)后脫位合并肱骨近端骨折患者3例,均為男性。年齡31~45歲,中位數(shù)38歲。左側(cè)1例,右側(cè)2例。所有患者肩部均疼痛且活動(dòng)受限,均無明顯方肩畸形,Dugas征均陰性,肩關(guān)節(jié)外展、外旋均明顯受限。均無血管、神經(jīng)損傷癥狀。術(shù)后隨訪觀察骨折愈合、并發(fā)癥發(fā)生及患肢功能恢復(fù)情況。結(jié)果:所有患者均獲得隨訪,隨訪時(shí)間6~48個(gè)月,中位數(shù)15個(gè)月。切口均甲期愈合,骨折均愈合,均未發(fā)生肩關(guān)節(jié)再脫位等并發(fā)癥。按照UCLA肩關(guān)節(jié)評(píng)分系統(tǒng)評(píng)價(jià)療效,良2例、差1例。結(jié)論:采用切開復(fù)位肱骨近端鎖定鋼板內(nèi)固定治療陳舊性肩關(guān)節(jié)后脫位合并肱骨近端骨折,骨折愈合率高,有利于患肢功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
2015-06-01收稿 2015-09-06修回
更新日期/Last Update: 2015-10-30