| 桡神经内置在肱骨中下段骨折钢板内固定术中的应用 |
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Received:September 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张中兴 |
ZHANG Zhong-xing |
南方医科大学附属柳州医院暨广西柳州柳铁中心医院关节骨病科, 广西 柳州 545007 |
Department of Joint Orthopaedics, Affiliated Liuzhou Hospital, Southern Medical University, Liu-tie Centre Hospital, Liuzhou 545007, Guangxi, China |
17044120@qq.com |
| 许峰 |
XU Feng |
南方医科大学附属柳州医院暨广西柳州柳铁中心医院关节骨病科, 广西 柳州 545007 |
Department of Joint Orthopaedics, Affiliated Liuzhou Hospital, Southern Medical University, Liu-tie Centre Hospital, Liuzhou 545007, Guangxi, China |
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| 陈焕诗 |
CHEN Huan-shi |
南方医科大学附属柳州医院暨广西柳州柳铁中心医院关节骨病科, 广西 柳州 545007 |
Department of Joint Orthopaedics, Affiliated Liuzhou Hospital, Southern Medical University, Liu-tie Centre Hospital, Liuzhou 545007, Guangxi, China |
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| 期刊信息：《中国骨伤》2015年28卷，第5期，第469-471页 |
| DOI：10.3969/j.issn.1003-0034.2015.05.019 |
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目的:探讨在肱骨中下段骨折钢板内固定术中将桡神经内置的方法及疗效。
方法:自2010年1月至2013年12月采用桡神经内置钢板内固定术治疗31例肱骨中下段骨折患者,男18例,女13例;年龄26～58岁,平均37岁;受伤至手术时间1～8 d,平均4.5 d.按AO骨折分型:A1型7例,A2型3例,A3型6例,B1型2例,B2型4例,B3型2例,C1例4例,C2型3例。患者术前均无桡神经损伤征象。采用美国骨科协会提出的DASH量表进行疗效评定,0表示上肢功能正常,1～100表示上肢功能有不同程度的损伤。
结果:31例患者术后未发生与手术相关并发症,无神经损伤与伤口感染。31例患者术后获随访,时间8～15个月,平均11个月。上肢功能按DASH上肢功能量表评定,患者伤后评分76.2±11.8,末次随访评分8.2±7.4,术后随访评分与伤后评分比较差异有统计学意义(t=9.717,P<0.01),上肢功能恢复满意。
结论:在肱骨中下段骨折钢板内固定术中将桡神经内置可有效避免医源性桡神经损伤。 |
| [关键词]:桡神经 肱骨骨折 骨折固定术,内 外科手术 |
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| Medial transposition of the radial nerve in steel plate internal fixation of lower segment fracture of humerus |
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Abstract:
Objective:To investigate the method of medial transposition of the radial nerve in plate fixation of lower segment fracture of humerus.
Methods:From January 2010 to December 2013,31 patients with medial transposition of the radial nerve in plate fixation of lower segment fracture of humerus,including 18 males and 13 females ranging in age from 26 to 58 years old with a mean of 37 years old. The time between injury and operation was 1 to 8 days with an average of 4.5 days. According to AO classification,7 fractures were type A1,3 fractures were type A2,6 fractures were type A3,2 fractures were type B1,4 fractures were type B2,2 fractures were type B3,4 fractures were type C1,3 fractures were type C2. No patients had any signs of radial nerve injury. The results were evaluated with DASH(disability of arm-shoulder-hand) Questionnaire by the American Academy of Orthopedic Surgeons (AAOS),which 0 indicated normal upper extremity function,and 1 to 100 indicated varying degrees of damage to the function of the upper extremties.
Results:There was no neurologic complication or postoperative wound infection in this series. The followed-up period ranged form 8 to 15 months(means 11 months) postoperatively. The clinical outcomes were evaluated with DASH Questionnaire,the score before operation was 76.2±11.8,the final follow-up score was 8.2±7.4,the final follow-up score was significant higher than before operation(P<0.01). The function of the upper extremities recovered satisfactorily.
Conslusion:The method of medial transposition of the radial nerve in plate fixation of lower segment fracture of humerus can avoid iatrogenic radial nerve injury effectively. |
| KEYWORDS:Radial nerve Humeral fractures Fracure 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: | 张中兴,许峰,陈焕诗.桡神经内置在肱骨中下段骨折钢板内固定术中的应用[J].中国骨伤,2015,28(5):469~471 |
| 英文格式: | ZHANG Zhong-xing,XU Feng,CHEN Huan-shi.Medial transposition of the radial nerve in steel plate internal fixation of lower segment fracture of humerus[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(5):469~471 |
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