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[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):52-54.
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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()
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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:
52-54
欄目:
臨床報道
出版日期:
2015-10-30

文章信息/Info

作者:
劉磊1萬春友2全先輝1王曉衛(wèi)1楊光1朱旭偉3張濤2梅曉龍2
1.天津中醫(yī)藥大學(xué),天津 300193;
2.天津市天津醫(yī)院,天津 300211;
3.天津醫(yī)科大學(xué),天津 300070
關(guān)鍵詞:
肩骨折 肱骨近端骨折 骨折固定術(shù)內(nèi) 骨質(zhì)疏松 骨移植
摘要:
目的:探討鎖定鋼板內(nèi)固定結(jié)合肱骨頭植骨重建治療肱骨近端Neer三、四部分骨折的臨床療效和安全性。方法:2012年12月至2014年1月收治30例肱骨近端骨折患者,男13例、女17例; 年齡35~76歲,中位數(shù)54歲; Neer三部分骨折15例、四部分骨折15例。均為單側(cè)閉合性損傷,未合并嚴(yán)重神經(jīng)損傷。采用鎖定鋼板內(nèi)固定結(jié)合肱骨頭植骨重建治療,術(shù)后隨訪觀察臨床療效和安全性。結(jié)果:所有患者均順利完成手術(shù),未發(fā)生重要血管神經(jīng)損傷。4例發(fā)生切口延遲愈合,未發(fā)生切口感染。所有患者均獲隨訪,隨訪時間12~24個月,中位數(shù)18個月。所有患者骨折均愈合。1例發(fā)生螺釘切割肱骨頭現(xiàn)象,未發(fā)生鋼板及螺釘斷裂、肱骨頭壞死及骨折畸形愈合等并發(fā)癥。術(shù)后多數(shù)患者出現(xiàn)肌肉廢用性萎縮,以三角肌及肱二頭肌萎縮為主,大部分患者在3個月后基本恢復(fù)肌肉功能。術(shù)后患肩功能逐漸恢復(fù),按照Constant-Murley肩關(guān)節(jié)評分量表評定療效,術(shù)后3個月、6個月及12個月時的評分分別為(55.97±10.06)分、(81.37±10.06)分、(86.87±6.90)分。結(jié)論:采用鎖定鋼板內(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,骨折端穩(wěn)定性好、骨折愈合率高、短期內(nèi)并發(fā)癥少、肩關(guān)節(jié)功能恢復(fù)滿意。

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備注/Memo

備注/Memo:
2015-06-24收稿 2015-07-28修回
通訊作者:萬春友 E-mail:[email protected]
更新日期/Last Update: 2015-10-30