| 缝线辅助锁定钢板治疗老年肱骨近端骨折的病例对照研究 |
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投稿时间：2014-08-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 戴章生 |
DAI Zhang-sheng |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
daizhangsheng@126.com |
| 黄杰苗 |
HUANG Jie-miao |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 庄洵荣 |
ZHUANG Xun-rong |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 陈守勃 |
CHEN Shou-bo |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 吴世强 |
WU Shi-qiang |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 姚学东 |
YAO Xue-dong |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 叶晖 |
YE Hui |
福建医科大学附属第二医院骨科, 福建 泉州 362000 |
Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第12期，第1015-1018页 |
| DOI：10.3969/j.issn.1003-0034.2014.12.010 |
| 基金项目: |
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中文摘要:
目的: 探讨应用缝线辅助锁定钢板治疗老年肱骨近端骨折的临床疗效.
方法: 自2005年1月至2013年1月,收治老年肱骨近端3、4部分骨折55例,分为治疗组和对照组.治疗组31例,采用缝线辅助锁定钢板治疗,其中男12例,女19例;年龄65～85岁,平均(74.00±5.42)岁;NeerⅢ型19例,Ⅳ型12例;低能量损伤23例,高能量损伤8例.对照组24例,采用锁定钢板治疗,其中男7例,女17例;年龄65～85岁,平均(72.79±5.34)岁;NeerⅢ型16例,Ⅳ型8例;低能量损伤17例,高能量损伤7例.记录并比较两组患者的手术时间、术中出血量、骨折愈合时间,术后采用Neer评分评价肩关节功能恢复情况.
结果: 55例均获随访,时间6～24个月,平均16.1个月.治疗组平均出血量(495.806±143.150) ml;Neer评分中的功能(22.645±2.443)分,活动范围(18.194±2.613)分,解剖(7.935±1.504)分,总分77.161±8.335.而对照组平均出血量(641.667±169.851) ml;Neer评分中功能(13.955±1.989)分,活动范围(13.083±2.165)分,解剖(5.500±1.978)分,总分58.792±7.313.以上指标比较,治疗组结果均优于对照组.
结论: 采用缝线辅助锁定钢板治疗老年肱骨近端骨折,具有术中出血少、复位简单有效、术后肩关节功能恢复效果更好的优点,是治疗老年肱骨近端骨折的有效方法. |
| 【关键词】肱骨骨折,近端 骨折固定术 缝线 老年人 病例对照研究 |
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| Case-control study on suture-assisted locking plate for the treatment of proximal humeral fractures in elderly |
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ABSTRACT
Objective: To explore clinical effects of suturing-assisted locking plate in treating elderly proximal humeral fractures.
Methods: From January 2005 to January 2013,55 elderly patients with three-and four-part fractures of proximal humeral fractures were divided into treatment group and control group. In treatment group,there were 31 patients including 12 males,and 19 females aged from 65 to 85 with an average of (74.00±5.42) years old,and treated with suturing-assisted locking plates;19 patients were Neer 3-part fractures,and 12 patients were Neer 4-part fractures of proximal humerus;23 patients were suffered from low-energy injuries and 8 patients were caused by high-energy injuries. In control group,there were 24 patients including 7 males,and 17 females aged from 65 to 85 with an average of (72.79±5.34) years old,and treated with locking plates; 16 patients were Neer 3-part fractures,and 8 patients were Neer 4-part fractures of proximal humerus; 17 patients were suffered from low-energy injuries and 7 patients were caused by high-energy injuries. Operative time,blood loss during operation,and bone healing time between two groups were observed and compared. Postoperative Neer scoring were used to evaluate recovery of shoulder joint function.
Results: All patients were followed up from 6 to 24 months with an average of 16.1 months. In treatment group,blood loss was(495.806±143.150) ml,function of Neer scoring was 22.645±2.443,range of action was 18.194±2.613,anatomy was 7.935±1.504 and total score of Neer scoring was 77.161±8.335; while in control group,blood loss was(641.667± 169.851) ml,function of Neer scoring was 13.958±1.989,range of action was 13.083±2.165,anatomy was 5.500±1.978 and total score of Neer scoring was 58.792±7.313. There were sigificant difference between two groups in these indexes.
Conclusion: Suturing-assisted locking plate for the treatment of proximal humerus fractures in elderly,has advantage s of less blood loss,simple fracture reduction and rapid recovery of shoulder joint,and is a effective method. |
| KEY WORDS Humeral fractures,proximal Fracture fixation Sutures Aged Case-control |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 戴章生,黄杰苗,庄洵荣,陈守勃,吴世强,姚学东,叶晖.缝线辅助锁定钢板治疗老年肱骨近端骨折的病例对照研究[J].中国骨伤,2014,27(12):1015~1018 |
| 英文格式: | DAI Zhang-sheng,HUANG Jie-miao,ZHUANG Xun-rong,CHEN Shou-bo,WU Shi-qiang,YAO Xue-dong,YE Hui.Case-control study on suture-assisted locking plate for the treatment of proximal humeral fractures in elderly[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(12):1015~1018 |
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