| 肱骨近端支架治疗肱骨近端骨折研究进展 |
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投稿时间：2020-07-14
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| 期刊信息：《中国骨伤》2020年，第33卷，第12期，第1171-1174页 |
| DOI：10.12200/j.issn.1003-0034.2020.12.016 |
| 基金项目:北京市属医学科研院所公益发展改革试点项目（编号：京医研2019-9）；北京市自然科学基金-海淀原始创新联合基金（编号：L12049） |
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| 中文摘要:肱骨近端骨折是肩部常见骨折之一，随着发病率的增加，手术干预比例不断加大，本文对肱骨近端骨折治疗传统和新出现的治疗手段进行分析探究。锁定钢板技术是临床使用最多的方式，但是其螺钉切出、再手术并发症发生率过高。腓骨移植技术可以弥补钢板无法有效支撑等不足，但也存在手术创伤大、潜在血管破坏发生率高等不足。关节置换是复杂肱骨近端骨折的治疗方式之一，学习曲线长、花费高等是其固有缺点。近年出现了肱骨近端支架干预方式，此技术具备固有3D立体结构优势，可以为肱骨头提供有效承重支持，能够为螺钉提供灵活的置入角度。为减少术后并发症，提高患者康复安全性提供技术选择。全面把握肱骨近端骨折的治疗手段，合理选择干预措施将会给患者带来更多的收益。 |
| 【关键词】肱骨近端骨折 外科手术 肱骨近端支架 |
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| Treatment progress on proximal humerus fracture with proximal humerus cage |
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| ABSTRACT Proximal humerus fracture is one of the common shoulder fractures. With the increase in incidence,the proportion of surgical intervention is increasing. This paper explores the traditional and new treatment methods for proximal humerus fracture. Locking plate technology is the most commonly used method in the clinic,but its complication rate of intra-articular screw penetration and reoperation is too high.Fibular strut allografts can provide adequate support,but it is a significant trauma surgery and has a high incidence of potential disruption to necessary vascular.Arthroplasty is one of the treatments for complex proximal humerus fractures,but it has a long learning curve and high cost.In recent years,the proximal humerus cage's intervention model has emerged,which has the inherent advantages of a three-dimensional structure,which can provide adequate load-bearing support for the humeral head and provide flexible screw placement Angle. The cage offers a new technical option to reduce postoperative complications and improve patients' rehabilitation safety. A comprehensive grasp of the treatments of proximal humerus fracture and rational choice of intervention measures will benefit patients. |
| KEY WORDS Proximal humerus fractures Surgical procedures,operative Proximal humerus cage |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 卢帅,Micheal J. Gardner,蒋协远.肱骨近端支架治疗肱骨近端骨折研究进展[J].中国骨伤,2020,33(12):1171~1174 |
| 英文格式: | LU Shuai,Micheal J. Gardner,JIANG Xie-yuan.Treatment progress on proximal humerus fracture with proximal humerus cage[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(12):1171~1174 |
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