| 经皮顺行克氏针固定治疗肱骨近端骨折 |
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投稿时间：2007-09-13
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| 期刊信息：《中国骨伤》2008年，第21卷，第6期，第453-454页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：对应用经皮顺行克氏针固定治疗肱骨近端骨折的适应证、手术方法和疗效进行总结分析。
方法：应用经皮顺行穿针固定治疗肱骨近端闭合骨折32例，男7例，女25例；年龄28～75岁，平均49.25岁。Neer 外科颈2部分骨折20例，3部分骨折9例，4部分骨折3例。
结果：32例均获随访，随访时间8～34个月，平均13.5 个月。按Constant-Murley 功能评分标准：优21例，良9例，可2例。
结论：经皮顺行穿针固定治疗肱骨近端骨折，结合有计划的康复治疗，操作简单、疗效可靠。不但可用于治疗外科颈2部分骨折，而且还可选择性地应用于3、4部分骨折的治疗。 |
| 【关键词】肱骨骨折 骨折固定术，内 外科手术 |
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| Treatment of proximal fracture of humerus by percutaneous antegrade Kirschner pinning |
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ABSTRACT
Objective: To summarize and analyze the clinical indication,surgical techniques and results of percutaneous antegrade Kirschner pinning in the treatment of proximal fracture of humerus.
Methods: Thirty-two patients with displaced fractures of the proximal humerus were treated with 2 to 3 Kirschner wires by percutaneous antegrade transfixation. Among 32 casas,there were 7 male and 25 female,with a mean age of 49.25 years(range,from 28 to 75 years). According to the Neer fracture classification, there were 20 cases of 2-part,9 of 3-part,and 3 of 4-part fractures.
Results: All patients were followed up for 8 to 34 months with an average of 13.5 months. According to Constant-Murley evaluation,the results were excellent in 21 cases,good in 9,fair in 2.
Conclusion: Percutaneous antegrade transfixaton is a good technique for the management of displaced 2-part fractures of the proximal humerus and also alternative to 3-part or 4-part fractures. |
| KEY WORDS Humeral fractures Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孔令英,刘瑞波,周怀东.经皮顺行克氏针固定治疗肱骨近端骨折[J].中国骨伤,2008,21(6):453~454 |
| 英文格式: | KONG Ling-ying,LIU Rui-bo,ZHOU Huai-dong.Treatment of proximal fracture of humerus by percutaneous antegrade Kirschner pinning[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(6):453~454 |
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