上臂内侧切口钢板内固定治疗肱骨干骨折

目的探讨肱骨干骨折采用切开复位钢板内固定治疗的效果。方法回顾性分析自2010-01—2012—01收治的肱骨干骨折165例，其中105例获得随访纳入本研究，根据手术入路的不同将其分为3组：A组上臂内侧切口39例；B组后侧切1：334例：C组前外侧切口32例。结果随访时间均超过12个月，3组骨折均愈合良好，A组愈合时间短于B、C组，差异有统计学意义（P〈0．05），A、B组皮肤感觉优良率与C组比较差异有统计学意义（P〈0．05），A、B、C3组间肩、肘功能比较差异无统计学意义（P〉0．05）。结论上臂内侧切口人路钢板内固定治疗肱骨干骨折是可行且安全的。

Upper arm medial incision by plate internal fixation in treatment of humeral shaft fractures

Objective To investigate a new method for the open reduction and internal fLxafion of humerus shaft fracture. Methods One hundred and sixty five patients with humerus shaft fractures treated from January 2010 to January 2012 were retrospectively analyzed, of which 105 patients were followed up and according to the different surgical approaches they were divided into three groups; Group A of 39 cases of medial arm incision; Group B posterior incision 34 cases; Group C anterolateral incision in 32 cases. Results The follow-up time was more than 12 months, three groups of patients fractures healed well, Group A healing time was shorter than group B, C, the difference was statistically significant（P 〈0.05）, group A, B and group C skin sensation difference was statistically significant（P 〈0.05）, group A, B,C among the three shoulder, elbow function, the difference was not statistically significant（P 〉0.05）. Conclusion The upper arm medial incision in the humeral shaft fractures is feasible and safe.