Sponsor
  • ·
  • Chinese Association of
    Integrative Medicine;
    China Academy of Chinese
    Medicine Sciences
Editing
  • ·
  • Editorial Board of
    China Journal of
    Orthopaedics and Traumatology
Publishing
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
Overseas Distributor
  • ·
  • China International Book
    Trading Corporation
    P.O.Box 399,Beijing,China
    Code No.M587
Mail-order
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
    No.16A, Nanxiaojie, Dongzhimennei,
    Beijing 100700,China
    Tel:0086-10-84020925
    Fax:0086-10-84036581
    Http://www.zggszz.com
    E-mail:zggszz@sina.com
手法整复经皮导入空心加压螺纹钉内固定治疗肱骨近端骨折脱位
Hits: 1995   Download times: 1159   Received:December 17, 2004    
作者Author单位UnitE-Mail
谭远超 TAN Yuan-chao 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China liuJun0528@yahoo.com.cn 
杨茂清 YANG Mao-qing 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
刘峻 LIU Jun 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
毕宏政 BI Hong-zheng 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
孙献武 SUN Xian-wu 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
戴振国 DAI Zhen-guo 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
黄明利 HUANG Ming-li 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
李健 LI Jian 文登整骨医院,山东文登264400 Wendeng Orthopaedic and Traumatic Hospital,Shandong Wendeng,264400,China  
期刊信息:《中国骨伤》2005年18卷,第7期,第388-390页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:山东省中医药管理局立项课题(鲁卫中科[1999]16号)


目的:介绍一种治疗新鲜肱骨近端骨折脱位的闭合整复和半开放手术方法,并对其疗效进行评价。

方法:对43例肱骨近端骨折合并肩关节前脱位患者应用反“?”手法整复骨折,经皮导入空心螺纹钉内固定后按单纯肩关节前脱位整复治疗。术后2年进行肩关节Neer评分。

结果:术后针眼无感染,均Ⅰ期愈合。螺纹钉无折断。骨折均在术后2个月内愈合。经24~52个月的随访,无肱骨头坏死发生。疗效优35例,良7例,可1例,优良率为97.7%。

结论:反“?”手法设计合理,复位率高。经皮导入内固定可靠,无须外固定,术后可早期活动肩关节,有效预防了关节粘连,较好地保护了肱骨头的血供,避免了肱骨头缺血性坏死的发生。
[关键词]:肱骨骨折  脱位  正骨手法  骨折固定术
 
Internal fixation of percutaneous compression hollow screw for the treatment of proximal humeral fracture-dislocation
Abstract:

Objective:To introduce a method for the treatment of proximal humeral fracture-dislocation with closed reduction and semi-open operation and evaluate its clinical effect.

Methods:Forty-three patients with proximal humeral fracture-dislocation were firstly treated with the manipulation of reversed "?"and internal fixation with percutaneous compression hollow screw.Clinical effect was evaluated according to Neer's score in two years after operation.

Results:The pinholes of all the patients had no infection and achieved primary healing.Screws had not been broken off and fractures were healed in two months after operation.All patients had not been found osteonecrosis of humeral nead during the follow up period (range was from 24 months to 52 months).The clinical result was excellent in 35 cases,good in 7 cases and satisfactory in 1 case.The rate of excellent and good was 97.7%.

Conclusion:The manipulation of reversed "?" has the advantages of good design and high reduction rate.The percutaneous internal fixation has the advantages of reliable fixation,need no external fixation,early exercises of shoulder after operation,preventing adhesion of joint effectively.
KEYWORDS:Fracture of humerus  Dislocation  Bone setting manipulation  Fracture fixation
 
引用本文,请按以下格式著录参考文献:
中文格式:谭远超,杨茂清,刘峻,毕宏政,孙献武,戴振国,黄明利,李健.手法整复经皮导入空心加压螺纹钉内固定治疗肱骨近端骨折脱位[J].中国骨伤,2005,18(7):388~390
英文格式:TAN Yuan-chao,YANG Mao-qing,LIU Jun,BI Hong-zheng,SUN Xian-wu,DAI Zhen-guo,HUANG Ming-li,LI Jian.Internal fixation of percutaneous compression hollow screw for the treatment of proximal humeral fracture-dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(7):388~390
View Full Text  View/Add Comment  Download reader
Close




版权所有:Editorial Office of China Journal of Orthopaedics and Traumatology京ICP备12048066号  版权声明
地址:No.16A, Nanxiaojie, Dongzhimennei, Beijing 100700, China
电话:0086-10-84036581 传真:0086-10-84036581 Email:zggszz@sina.com