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锁定加压钢板微创固定治疗复杂肱骨干骨折
引用本文:杨铁毅,刘树义,刘粤,王铭春,郑士伟,吴亮,王治,宋炜中,黄国华,丁志宏,张长青.锁定加压钢板微创固定治疗复杂肱骨干骨折[J].中国修复重建外科杂志,2007,21(8):817-819.
作者姓名:杨铁毅  刘树义  刘粤  王铭春  郑士伟  吴亮  王治  宋炜中  黄国华  丁志宏  张长青
作者单位:1. 上海浦东公利医院骨科,上海,200135
2. 上海交通大学附属第六人民医院骨科
摘    要:目的探讨肱骨前方入路下结合锁定加压钢板(locking compression plate,LCP)微创治疗复杂肱骨干骨折的初步效果。方法2005年3月~2006年2月于肱骨前方入路下行LCP微创治疗11例复杂肱骨干骨折,并对患者进行回顾性分析。男6例,女5例;年龄32~66岁。其中6例摔伤,5例车祸伤。骨折类型:多段骨折2例,长斜形骨折1例,长段粉碎性骨折8例。骨折线累及干骺端8例,其中骨折块卡压桡神经1例,其余均未发生神经血管损伤。骨折位于肱骨中上段6例,肱骨中下段5例。伤后48h~4d手术,均无开放性骨折。结果11例骨折均于术后2~4个月愈合,1例术前桡神经卡压功能障碍者,经神经探查松解,复位固定,3d后功能恢复。术后均随访6~12个月,患者功能恢复皆良好。肩关节功能按Neer评分优7例,良3例,中1例;HSS评分优9例,良2例。结论肱骨前方入路下结合LCP的微创术是一种治疗复杂性肱骨干骨折安全有效的方法。

关 键 词:肱骨干骨折  微创  钢板内固定
修稿时间:2006-11-24

MINIMALLY-INVASIVE LOCKING COMPRESSION PLATE TO TREAT COMPLEX HUMERAL SHAFT FRACTURE
YANG Tieyi, LIU Shuyi, LIU Yue, et al.MINIMALLY-INVASIVE LOCKING COMPRESSION PLATE TO TREAT COMPLEX HUMERAL SHAFT FRACTURE[J].Chinese Journal of Reparative and Reconstructive Surgery,2007,21(8):817-819.
Authors:YANG Tieyi  LIU Shuyi  LIU Yue  
Institution:Department of Orthopedics, Gongli Hospital, Pudong New Area, Shanghai, 200135, P. R. China
Abstract:Objective To investigate an effect of the minimally-invasive locking compression plate(LCP) under the anterior humeral approach to treat the complex humeral shaft fracture.Methods Eleven patients(6 males,5 females;age,32-66 years) with a humeral shaft fracture were treated with the minimally-invasive LCP under the modified anterior humeral approach from March 2005 to February 2006.Five of the patients were injured in a traffic accident and the remaining 6 were wounded in a fall.All the patients had an unstable fracture.The multiple segment fracture was found in 2 patients,the obligue line fracture in 1 patient,and the long segment comminuted fracture in 8 patients,of whom the radial nerve injury was found in 1 patient,who had an emergency treatment by the loosening of the radial nerve and the internally fixing with LCP.As for the fracture site,the middle-and/or the upper-part fracture of the humerus was found in 6 patients,and the middle and/or lower-part fracture of the humerus was found in 5 patients.The patients underwent the operation in the period from 48 hours to 4 days after the injuries.Results All the patients had a complete healing of their fractures 2-4 months after operation.One patient underwent the loosening of the radial nerve and the internally-fixing with LCP,and his function recovered 3 days after operation.The follow-up for 6-12 months revealed that all the patients' function recovered.According to the Neer Scoring System for the shoulder function evaluation,7 patients had an excellent result,3 had a good result,and 1 had a fair result.According to the HSS Scoring System,9 patients had an excellent result and 2 had a good result.Conclusion The minimally-invasive locking compression plate under the anterior humeral approach to treat the complex humeral shaft fracture is an effective and safe method of treating the complex humeral shaft fracture.
Keywords:Humeral fracture Minimally-invasive Plate fixation
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