| 经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效分析 |
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投稿时间：2022-11-02
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| 作者 | Author | 单位 | Address | E-Mail |
| 吴世龙 |
WU Shi-long |
中国人民解放军联勤保障部队第九〇九医院厦门大学附属东南医院全军骨科中心, 福建 漳州 363000 |
Department of Orthopaedics, Southeast Hospital Affiliated to Xiamen University, 909th Hospital of PLA Joint Logistic Support Force, Zhangzhou 363000, Fujian, China |
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| 钟渊福 |
ZHONG Yuan-fu |
中国人民解放军联勤保障部队第九〇九医院厦门大学附属东南医院全军骨科中心, 福建 漳州 363000 |
Department of Orthopaedics, Southeast Hospital Affiliated to Xiamen University, 909th Hospital of PLA Joint Logistic Support Force, Zhangzhou 363000, Fujian, China |
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| 郭志民 |
GUO Zhi-min |
中国人民解放军联勤保障部队第九〇九医院厦门大学附属东南医院全军骨科中心, 福建 漳州 363000 |
Department of Orthopaedics, Southeast Hospital Affiliated to Xiamen University, 909th Hospital of PLA Joint Logistic Support Force, Zhangzhou 363000, Fujian, China |
gzmin175@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第9期，第880-883页 |
| DOI：10.12200/j.issn.1003-0034.2023.09.016 |
| 基金项目: |
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中文摘要:
目的：分析经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效。
方法：对2016年1月至2021年6月采用经腋窝入路拉力螺钉结合支撑钢板治疗的26例IdebergⅡ型肩胛盂骨折患者进行回顾性分析,其中男15例,女11例;年龄21~75(43.12±6.56)岁。采用Constant-Murley肩关节评分量表和加利福尼亚大学洛杉矶分校(University of California at Los Angeles,UCLA)评分对肩关节功能和临床疗效进行评估。
结果：所有患者获得随访,时间19~42(30.6±10.5)个月。术后1年对患者进行Constant-Murley评分,结果由术前的28~47(34.9±2.5)分,升高为70~95(87.2±6.8)分;UCLA评分结果由术前的9~25(17.9±1.7)分,改善为29~35(33.1±2.3)分,其中优17例,良7例,可2例。两者评分结果与术前评分比较差异均有统计学意义(P<0.001)。患者术后均未出现感染和螺钉、钢板松动、断裂等并发症,2例在术后随访期有不同程度的肩部慢性疼痛。
结论：经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折显露便捷,可直视下恢复肩胛盂正常解剖形态,利于选择适合螺钉及钢板放置的部位,达到较佳的治疗效果,并发症少,是一种有效、可靠的手术方法。 |
| 【关键词】腋窝入路 拉力螺钉 支撑钢板 肩胛盂骨折 |
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| Effect of lag screw and support plate through axillary approach for the treatment of Ideberg typeⅡscapular pelvis fracture |
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ABSTRACT
Objective To analyze the effect of lag screw and support plate through axillary approach for the treatment of Ideberg typeⅡscapular pelvis fracture.
Methods From January 2016 to June 2021,26 patients with Ideberg typeⅡglenoid fractures were treated with trans-axillary lag screw combined with supporting plate,including 15 males and 11 females. The age ranged from 21 to 75 years,with an average of (43.12±6.56) years old. The Constant-Murley Shoulder joint Scale and University of California at Los Angeles (UCLA) score were used to evaluate the function and clinical efficacy of shoulder joint.
Results All patients were followed up,and the duration ranged from 19 to 42 months,with an average of (30.6±10.5) months. One year after surgery,the Constant-Murley score increased from preoperative 34.9±2.5(ranged,from 28 to 47) to 87.2±6.8(ranged,from 70 to 95). The UCLA score improved from preoperative 17.9±1.7(9 to 25) to 33.1±2.3(29 to 35). Seventeen patients got an excellent result,with 7 good,and 2 fair. None of the patients had infection,screw,and plate loosening,fracture, and other complications after surgery. Two patients had different degrees of Chronic pain in the shoulder during the follow-up period.
Conclusion The treatment of Ideberg typeⅡscapular glenoid fractures through axillary approach with lag screws and supporting steel plates has the advantages of convenient exposure,direct visual restoration of the normal anatomical shape of the scapular glenoid,selection of suitable positions for screw and steel plate placement,achieving better treatment results,and fewer complications. It is an effective and reliable surgical method. |
| KEY WORDS Axillary approach straight jetway Lag screw Supporting steel plate Scapular pelvis fracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴世龙,钟渊福,郭志民.经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效分析[J].中国骨伤,2023,36(9):880~883 |
| 英文格式: | WU Shi-long,ZHONG Yuan-fu,GUO Zhi-min.Effect of lag screw and support plate through axillary approach for the treatment of Ideberg typeⅡscapular pelvis fracture[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(9):880~883 |
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