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应用新型网状解剖型钢板治疗移位肱骨大结节骨折的疗效分析
引用本文:王明辉,高峰,王秀会.应用新型网状解剖型钢板治疗移位肱骨大结节骨折的疗效分析[J].生物骨科材料与临床研究,2017,14(3):13-15.
作者姓名:王明辉  高峰  王秀会
摘    要:目的探讨应用新型网状解剖型钢板治疗移位肱骨大结节骨折的临床疗效。方法自2014年12月~2016年9月,采用自行研究网状解剖型钢板治疗移位的肱骨大结节骨折23例,按Neer分型,均为二部分骨折,手术方法均采用肩峰前外侧切口,长度约4 cm左右,显露及复位移位的肱骨大结节骨折后行钢板固定,合并肩袖损伤的一期修复,术后指导患者功能锻炼。结果本组23例手术患者均获得3~6个月的随访,平均4个月,随访内容包括骨折愈合及关节功能恢复情况,所有患者均获骨性愈合,愈合时间为6~12周,平均8.0周,未发生切口感染,神经血管损伤及内固定松动,1例出现骨折再移位,按照Neer~(1])肩关节功能评分标准,本组病例,优13例,良7例,可2例,差1例,全组优良率86%。结论应用新型网状解剖型钢板治疗移位肱骨大结节骨折,具有手术创伤小及内固定可靠的优点,疗效满意。

关 键 词:肱骨大结节  肩骨折  内固定器  手术

The results analyse of internal fixation of humeral greater tubercle fractures with a new latticed locking plate
Wang Minghui,Gao Feng,Wang Xiuhui.The results analyse of internal fixation of humeral greater tubercle fractures with a new latticed locking plate[J].Orthopaedic Biomechanics Materials and Clinical Study,2017,14(3):13-15.
Authors:Wang Minghui  Gao Feng  Wang Xiuhui
Abstract:Objective To evaluate the clinical effects of a new latticed locking plate in the treatment of humeral greater tubercle fractures. Methods A total of 23 patients with humeral greater tubercle fractures classified as Neer II type underwent internal fixation operation using a new latticed locking plate from December 2014 to September 2016. The treatment consisted of open reduction, internal fixation and shoulder cuff injury repair with plate and screws through an about 4 cm length proximal anterior lateral incision. Functional exercise guidance were provided post operation. Results All patients were followed after operation. The fracture healing time and joint functional recovery of these patients were evaluated. The mean follow-up period was 4 (range, 3-6) months. The average time to achieve fracture union was 8 (range, 6-12) weeks. The final Neer shoulder functional scores were excellent in 13 patients, good in 7, moderate in 7, and poor in 1. The total excellent and good rate of patients was 86%. One case occurred postoperative displacement. Postoperative complications included nerve and vascular injury, superficial infection, and loosening or breakage of internal fixation complications were not observed. Conclusion The new latticed locking plate has the advantages of minimal injury and strong internal fixation. It is satisfactory in the treatment of humeral greater tubercle fracture.
Keywords:Greater tubercle  Shoulder fractures  Internal fixation  Operation
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