| 改良肱骨后入路治疗肱骨中下段骨折 |
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投稿时间：2016-04-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 张功林 |
ZHANG Gong-lin |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
668zgl@163.com |
| 甄平 |
ZHEN Ping |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 陈克明 |
CHEN Ke-ming |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 赵来绪 |
ZHAO Lai-xu |
甘肃武山县人民医院骨科, 甘肃 武山 741300 |
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| 杨军林 |
YANG Jun-lin |
甘肃武山县人民医院骨科, 甘肃 武山 741300 |
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| 周建华 |
ZHOU Jian-hua |
甘肃武山县人民医院骨科, 甘肃 武山 741300 |
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| 薛钦义 |
XUE Qin-yi |
甘肃武山县人民医院骨科, 甘肃 武山 741300 |
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| 马喜林 |
and MA Xi-lin |
甘肃武山县人民医院骨科, 甘肃 武山 741300 |
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| 期刊信息：《中国骨伤》2016年，第29卷，第8期，第764-766页 |
| DOI：10.3969/j.issn.1003-0034.2016.08.018 |
| 基金项目: |
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| 中文摘要:目的：总结应用改良肱骨后入路治疗肱骨中下段骨折的临床结果。方法：2006年1月至2010年12月，对26例肱骨中下段骨折患者应用改良肱骨后入路行内固定治疗，男17例，女9例；年龄24～50岁，平均（37.1±1.5）岁。肱骨骨折后至手术时间8 h～6 d，平均（3.3±0.6）d.肘关节功能按Morrey和Bryan 提出的评定标准评定疗效。结果：术后未发生与手术相关的并发症，无神经损伤与伤口感染。术后随访22～48个月，平均（30.1±1.6）个月。肱骨骨折全部愈合。Morrey-Bryan肘关节功评定结果，优19例，平均（94.6±1.8）分；良7例，平均（86.5±1.2）分。结论：改良肱骨后入路避免了对肱三头肌的损伤，改善了术后肱三头肌的功能，很适用于肱骨中下段骨折的治疗。 |
| 【关键词】肱骨骨折 骨折固定术,内 后方入路 |
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| Treatment of the mid and distal segment humeral fractures through modified posterior approach |
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| ABSTRACT Objective: To summarize clinical result of the modified posterior approach for the treatment of the mid and distal segment humeral fractures. Methods: Between January 2006 and December 2010,26 patients with the mid and distal segment humeral fractures were treated with the open reduction and plate fixation by the modified posterior approach including 17 males and 9 females with an average of(37.1±1.5) years old ranging from 24 to 50 years old. The time from humeral fractures to operation were from 8 hours to 6 days with an average of (3.3±0.6) d. The elbow function were assessed by Morrey-Bryan. Results: There was no procedure-related complications occurred. No neurologic injury and wound infection after operation occurred. All patients were followed up from 22 to 48 months with an average of(30.1±1.6) months. The humeral fractures were confirmed healing. The clinical results of Morrey and Bryan were excellent in 19 cases(94.6±1.8),good in 7 cases(86.5±1.2). Conclusion: The modified posterior approach avoided injury of triceps muscle and improved postoperative triceps function. The technique may be particularly useful in the treatment of the mid and distal segment humeral fractures. |
| KEY WORDS Humeral fractures Fracture fixation,internal Posterior approach |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,甄平,陈克明,赵来绪,杨军林,周建华,薛钦义,马喜林.改良肱骨后入路治疗肱骨中下段骨折[J].中国骨伤,2016,29(8):764~766 |
| 英文格式: | ZHANG Gong-lin,ZHEN Ping,CHEN Ke-ming,ZHAO Lai-xu,YANG Jun-lin,ZHOU Jian-hua,XUE Qin-yi,and MA Xi-lin.Treatment of the mid and distal segment humeral fractures through modified posterior approach[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(8):764~766 |
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