| 改良Mclaughlin手术联合肱骨近端锁定钢板治疗肩关节后脱位伴骨折 |
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投稿时间：2018-06-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 张占丰 |
ZHANG Zhan-feng |
湖州市第一人民医院骨科, 浙江 湖州 313000 |
Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China |
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| 闵继康 |
MIN Ji-kang |
湖州市第一人民医院骨科, 浙江 湖州 313000 |
Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China |
2504074093@qq.com |
| 钟建明 |
ZHONG Jian-ming |
湖州市第一人民医院骨科, 浙江 湖州 313000 |
Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China |
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| 冯刚 |
FENG Gang |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310051 |
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| 李杭 |
LI Hang |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310051 |
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| 郑强 |
ZHENG Qiang |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310051 |
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| 期刊信息：《中国骨伤》2019年，第32卷，第1期，第33-37页 |
| DOI：10.3969/j.issn.1003-0034.2019.01.007 |
| 基金项目:湖州市公益性应用研究项目（编号：2016GYB21） |
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中文摘要:
目的：探讨改良的Mclaughlin手术联合锁定钢板治疗肱骨头损伤面积<40%的肩关节后脱位伴骨折患者的临床疗效。
方法：自2012年7月至2017年6月收治肩关节后脱位伴骨折患者7例，其中男5例，女2例；年龄37~53岁；合并肱骨头劈裂骨折3例，肱骨外科颈骨折4例。手术方法采用改良的Mclaughlin手术联合锁定钢板固定。观察术后肩关节活动范围，采用加州大学肩关节功能评分（University of California-Los Angeles Shoulder Scale，UCLA）进行临床疗效评价。
结果：7例患者获得随访，时间10~33个月。末次随访时肩关节前屈上举130°~170°，外旋45°~75°，外展105°~150°，内旋均在L3椎体到臀水平之间；UCLA评分29~34分，其中优1例，良6例。
结论：改良的Mclaughlin手术联合肱骨近端锁定钢板对肩关节后脱位伴骨折这一罕见损伤的治疗，可有效保证术后肩关节稳定性，但对术后肩关节内旋存在一定程度的影响。 |
| 【关键词】肩关节 骨折脱位 肱骨骨折 骨折固定术 |
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| Modified Mclaughlin procedure combined with locking plate for posterior shoulder dislocation with fracture |
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ABSTRACT
Objective: To study clinical effects of modified Mclaughlin procedure combined with locking plate for posterior shoulder dislocation with proximal humeral fracture which area of femoral head injury less than 40%.
Methods: From July 2012 to June 2017,7 patients with posterior shoulder dislocation were treated,including 5 males and 2 females;aged from 37 to 53 years old. Three patients combined with split of humerus head and 4 patients combined with humerus surgical neck fracture. All patients treated with modified Mclaughlin procedure combined with locking plate. Motion of shoulder joint after operation was observed,postoperative UCLA score was used to evaluate clinical effects.
Results: Seven patients were followed up from 10 to 33 months. The motion of anteflexion and up-lift ranged from 130° to 170°,the motion of extorsion ranged from 45° to 75°,the motion of abduction ranged fron 105° to 150°,and the internal rotation was between L3 to buttock. UCLA score ranged from 29 to 34;and 1 patient reached excellent,and 6 patients good.
Conclusion: The modified Mclaughlin procedure combined with locking plate showed satisfying result for posterior shoulder dislocation combined with fractures. However,the internal rotation of shoulder could be compromised. |
| KEY WORDS Shoulder joint Fracture dislocation Humeral fracture Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张占丰,闵继康,钟建明,冯刚,李杭,郑强.改良Mclaughlin手术联合肱骨近端锁定钢板治疗肩关节后脱位伴骨折[J].中国骨伤,2019,32(1):33~37 |
| 英文格式: | ZHANG Zhan-feng,MIN Ji-kang,ZHONG Jian-ming,FENG Gang,LI Hang,ZHENG Qiang.Modified Mclaughlin procedure combined with locking plate for posterior shoulder dislocation with fracture[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(1):33~37 |
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