| 三角肌外侧入路经皮锁定钢板治疗肱骨近端骨折的疗效分析 |
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Received:May 15, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 杨育生 |
ANG Yu-sheng |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
xsyang2005@sohu.com |
| 马海涛 |
MA Hai-tao |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 毕大卫 |
BI Da-wei |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 朴民声 |
PIAO Min-sheng |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 许桦 |
XU Hua |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年27卷，第3期，第244-247页 |
| DOI：10.3969/j.issn.1003-0034.2014.03.018 |
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目的：探讨肩峰下经三角肌外侧分离入路，运用肱骨近端锁定钢板结合MIPPO技术微创治疗肱骨近端骨折的治疗效果。
方法：2009年4月至2012年3月对26例闭合性肱骨近端骨折患者采用三角肌外侧入路应用锁定钢板进行骨折固定，其中男17例，女9例；年龄28～76岁，平均58岁。骨折类型按照Neer分型：2部分骨折7例，3部分骨折15例，4部分骨折4例。受伤至手术时间3～10 d，平均 5.6 d.术后对骨折愈合时间、并发症情况和肩关节功能（Neer肩关节功能评分标准）进行评价。
结果：26例均获随访，时间10～21个月，平均13.6个月。骨折均愈合，平均愈合时间12.5周（10～21周）.未发生肱骨头坏死和腋神经损伤等并发症。根据Neer评分，总分（88.36±7.82）分，其中疼痛（30.82±3.24）分，功能（23.76±5.71）分，活动度（17.59±5.36）分，解剖位置（7.03±2.39）分；结果优18 例，良 5 例，可 2 例，差1例。
结论：应用肩峰下经三角肌分离入路运用近端锁定钢板微创治疗肱骨近端骨折，具有创伤小、出血少、固定可靠、骨折愈合率高、功能恢复好等优点。 |
| [关键词]:肱骨骨折 骨折固定术，内 外科手术 |
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| Treatment of proximal humeral fractures with percutaneous locking plate fixation through lateral deltoid approach |
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Abstract:
Objective: To investigate the effects of locking plate fixation through lateral deltoid approach for proximal humeral fracture combined with micro-invasive percutaneous plating(MIPPO) technique.
Methods: From April 2009 to March 2012,26 patients with proximal humeral fractures were treated with proximal humeral locking system plate fixation through lateral deltoid approach,including 17 males and 9 females with an average age of 58 years old ranging from 28 to 76 years old. The time from injury to operation was 3 to 10 days(averaged 5.6 days). According to Neer typing for the proximal humeral fractures,7 cases had 2 parts of fracture,15 had 3 parts of fracture,and 4 had 4 parts of fracture. The Neer score for shoulder function was evaluated.
Results: All patients were followed up,and the duration ranged from 10 to 21 months(averaged 13.6 months). All patients were achieved bony union,the average healing time was 12.5 weeks(ranged from 10 to 21 weeks). No humeral head necrosis and axillary nerve injury occurred. According to Neer scoring system,the total score was 88.36±7.82,pain 30.82±3.24,function 23.76±5.71,activity 17.59±5.36,anatomical position 7.03±2.39; the result was excellent in 18 cases,good in 5 cases,fair in 2 cases,poor in 1 case.
Conclusion: Lateral deltoid approach combined with locking plate fixation for treatment of proximal humeral fracture has advantages of small invasion,less blood lossing,short operative time,stable fixation,high rate of fracture healing,and satisfactory functional recovery. |
| KEYWORDS:Humeral fractures Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨育生,马海涛,毕大卫,朴民声,许桦.三角肌外侧入路经皮锁定钢板治疗肱骨近端骨折的疗效分析[J].中国骨伤,2014,27(3):244~247 |
| 英文格式: | ANG Yu-sheng,MA Hai-tao,BI Da-wei,PIAO Min-sheng,XU Hua.Treatment of proximal humeral fractures with percutaneous locking plate fixation through lateral deltoid approach[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(3):244~247 |
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