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[1]張國(guó)文.肱骨近端鎖定接骨板內(nèi)固定治療肱骨近端骨折[J].中醫(yī)正骨,2016,28(08):50-51.
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肱骨近端鎖定接骨板內(nèi)固定治療肱骨近端骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年08期
頁(yè)碼:
50-51
欄目:
臨床報(bào)道
出版日期:
2016-08-20

文章信息/Info

作者:
張國(guó)文
河南省安陽(yáng)市人民醫(yī)院,河南 安陽(yáng) 455000
關(guān)鍵詞:
肩骨折 肱骨骨折 肩關(guān)節(jié) 骨板 骨質(zhì)疏松
摘要:
目的:探討肱骨近端鎖定接骨板內(nèi)固定治療肱骨近端骨折的臨床療效和安全性。方法:2013年1月至2014年2月收治40例肱骨近端骨折患者。男14例,女26例; 年齡50~88歲,中位數(shù)70歲; 按Neer分型標(biāo)準(zhǔn),二部分骨折14例、三部分骨折16例、四部分骨折10例; 受傷至手術(shù)時(shí)間2~6 d,中位數(shù)3 d。經(jīng)胸大肌和三角肌間隙入路,行肱骨近端鎖定接骨板內(nèi)固定術(shù),術(shù)后觀察骨折愈合情況、肩關(guān)節(jié)功能及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均順利完成手術(shù),手術(shù)時(shí)間(87.2±16.8)min。所有患者均獲隨訪,隨訪時(shí)間12~18個(gè)月,中位數(shù)16個(gè)月。38例患者的骨折在術(shù)后8周內(nèi)愈合,2例延遲愈合。末次隨訪時(shí)按照Neer肩關(guān)節(jié)功能標(biāo)準(zhǔn)評(píng)定,優(yōu)19例、良17例、中3例、差1例,其中二部分骨折患者Neer評(píng)分(85.6±6.8)分、三部分骨折患者Neer評(píng)分(88.9±6.7)分、四部分骨折患者Neer評(píng)分(84.2±5.6)分。2例發(fā)生肩峰撞擊征,未出現(xiàn)感染、骨折不愈合、內(nèi)固定失敗等并發(fā)癥。結(jié)論:采用肱骨近端鎖定接骨板內(nèi)固定術(shù)治療肱骨近端骨折,固定牢固、骨折愈合快、肩關(guān)節(jié)功能恢復(fù)好、并發(fā)癥少。

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
通訊作者:張國(guó)文 E-mail:[email protected]
更新日期/Last Update: 1900-01-01