| 两种内固定方法治疗肱骨干骨折的临床比较研究 |
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| 引用本文： | 侯林俊,孔祥录,朱治国,盖伟,崔成亮,杨勇.两种内固定方法治疗肱骨干骨折的临床比较研究[J].临床和实验医学杂志,2011,10(15):1170-1171,1173. |
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| 作者姓名： | 侯林俊 孔祥录 朱治国 盖伟 崔成亮 杨勇 |
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| 作者单位： | 首都医科大学燕京医学院附属良乡医院骨科,北京,102400 |
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| 摘 要： | 目的比较限制接触动力加压钢板内固定、交锁髓内钉内固定治疗肱骨干骨折的疗效,选择合适的内固定。方法肱骨干骨折76例,采用限制接触动力加压钢板内固定治疗(LC-DCP组)44例;髓内钉内固定治疗(LIN组)32例。对两组术中情况、骨折愈合情况及并发症发生情况进行比较。结果 76例患者术后获得6～24个月随访(平均13.2个月)。LC-DCP组手术时间、手术切口均较LIN组长,而骨折愈合率明显高于LIN组(P均<0.05)。LC-DCP组桡神经损伤的并发症发生率明显高于LIN组,而肩关节功能障碍的并发症发生率明显低于LIN组(P<0.05)。两组均未出现感染病例。结论肱骨粉碎骨折、多段骨折适合髓内钉内固定,简单骨折、合并桡神经损伤的骨折适合限制接触动力加压钢板内固定。
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| 关 键 词： | 肱骨干骨折 内固定 交锁髓内钉 限制接触动力加压钢板 |
Comparison of two kinds of internal fixation in treatment of humeral shaft fractures |
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| HOU Lin-jun,KONG Xiang-Lu,ZHU Zhi-guo,et al..Comparison of two kinds of internal fixation in treatment of humeral shaft fractures[J].Journal of Clinical and Experimental Medicine,2011,10(15):1170-1171,1173. |
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| Authors: | HOU Lin-jun KONG Xiang-Lu ZHU Zhi-guo |
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| Institution: | HOU Lin-jun,KONG Xiang-Lu,ZHU Zhi-guo,et al.Deparment of Orthopaedics,Liangxiang Hospital,Yanjing Medictal College,Capital Medical University,Beijing 102400,China. |
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| Abstract: | Objective A comparative study had been carried out on clinical effect between limited contact-dynamic compression plates(LC-DCP) fixation and interlocking nail fixaton in treatment of humeral shaft fractures.Methods Seventy six cases of humeral shaft fractures had been treated by LC-DCP fixation or interlocking nail fixation including 44 cases by LC-DCP and 32 cases by LIN.The intraoperative conditions,fracture healing and complications were compared.Results All cases were followed up for 6 to 24 months,wit... |
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| Keywords: | Humeral shaft fracture Internal-fixation Interlocking nail Limited contact-dynamic compression plates |
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