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[1]呂楊訓(xùn),陳芒芒,楊雷.微創(chuàng)經(jīng)皮鋼板內(nèi)固定術(shù)治療老年肱骨干長斜形骨折[J].中醫(yī)正骨,2021,33(08):71-75.
　LYU Yangxun,CHEN Mangmang,YANG Lei.Minimally invasive percutaneous plate osteosynthesis for treatment of long oblique humeral shaft fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(08):71-75.
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微創(chuàng)經(jīng)皮鋼板內(nèi)固定術(shù)治療老年肱骨干長斜形骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年08期
頁碼:
71-75
欄目:
臨床報道
出版日期:
2021-08-20

文章信息/Info

Title:
Minimally invasive percutaneous plate osteosynthesis for treatment of long oblique humeral shaft fractures in the aged
作者:
呂楊訓(xùn)1; 陳芒芒1; 楊雷2
(1.溫州市中心醫(yī)院,浙江 溫州 325000; 2.溫州醫(yī)科大學(xué)附屬第二醫(yī)院,浙江 溫州 325000)
Author(s):
LYU Yangxun; CHEN Mangmang; YANG Lei
關(guān)鍵詞:
肱骨骨折;  骨折; 閉合性;  骨折固定術(shù); 內(nèi);  最小侵入性外科手術(shù);  老年人
摘要:
目的:觀察微創(chuàng)經(jīng)皮鋼板內(nèi)固定術(shù)(minimally invasive percutaneous plate osteosynthesis,MIPPO)治療老年肱骨干長斜形骨折的臨床療效及安全性。方法:2016年1月至2019年6月,采用MIPPO治療肱骨干骨折患者42例。男26例,女16例。年齡 65～85歲,中位數(shù)72歲。均為閉合性長斜形骨折; 左側(cè)28例,右側(cè)14例; 中上段骨折30例,中下段骨折12例。根據(jù)AO骨折分型標準,A型9例、B型26例、C型7例。受傷至手術(shù)時間1～7 d,中位數(shù)3.5 d。隨訪觀察骨折愈合及并發(fā)癥發(fā)生情況,測定肩、肘關(guān)節(jié)活動度及握力。末次隨訪時,分別采用美國加州大學(xué)洛杉磯分校(the University of California at Los Angeles,UCLA)肩關(guān)節(jié)評分標準和Mayo肘關(guān)節(jié)評分標準評定肩關(guān)節(jié)和肘關(guān)節(jié)功能。結(jié)果:所有患者均獲隨訪,隨訪時間12～24個月,中位數(shù)17.5個月。骨折均骨性愈合,愈合時間3～5個月,中位數(shù)3.5個月。術(shù)后1個月,肩關(guān)節(jié)前屈活動度150.0°±7.5°、外展活動度135.0°±5.3°、外展外旋活動度50.5°±2.2°、外展內(nèi)旋活動度59.5°±4.2°,肘關(guān)節(jié)屈曲活動度105.0°±3.5°; 末次隨訪時,肩關(guān)節(jié)前屈活動度172.5°±5.5°、外展活動度169.0°±4.2°、外展外旋活動度62.5°±3.7°、外展內(nèi)旋活動度70.5°±2.1°,肘關(guān)節(jié)屈曲活動度136.5°±7.2°。末次隨訪時,患側(cè)握力(223±15)N、健側(cè)握力(231±11)N,肘關(guān)節(jié)內(nèi)外翻畸形3.2°±0.7°、前后成角3.4°±0.5°; UCLA肩關(guān)節(jié)評分(32.1±1.5)分,優(yōu)35例、良7例; Mayo肘關(guān)節(jié)評分(93.5±1.7)分,均為優(yōu)。2例術(shù)中復(fù)位失敗,行骨折端有限切開輔助復(fù)位。均未發(fā)生感染、內(nèi)固定失效、骨折移位、骨不連、橈神經(jīng)損傷等并發(fā)癥。結(jié)論:采用MIPPO治療老年肱骨干長斜形骨折,骨折愈合好,有利于肩、肘關(guān)節(jié)功能恢復(fù),且并發(fā)癥少。

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備注/Memo:
通訊作者:楊雷 E-mail:[email protected]
更新日期/Last Update: 1900-01-01