[1]葛鹏斌,赵 坤.锁定接骨板治疗累及肱骨距的肱骨近端骨折的效果[J].医学信息,2021,34(10):134-136.[doi:10.3969/j.issn.1006-1959.2021.10.038]
　GE Peng-bin,ZHAO Kun.The Effect of Locking Bone Plate in the Treatment of Proximal Humeral Fractures Involving the Humeral Talar[J].Medical Information,2021,34(10):134-136.[doi:10.3969/j.issn.1006-1959.2021.10.038]
点击复制

锁定接骨板治疗累及肱骨距的肱骨近端骨折的效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年10期
页码:
134-136
栏目:
临床研究
出版日期:
2021-05-15

文章信息/Info

Title:
The Effect of Locking Bone Plate in the Treatment of Proximal Humeral Fractures Involving the Humeral Talar
文章编号:
1006-1959（2021）10-0134-03
作者:
葛鹏斌; 赵 坤
（西安市高陵区中医医院骨伤科，陕西 西安 710200）
Author(s):
GE Peng-bin; ZHAO Kun
(Department of Orthopedics and Traumatology,Gaoling District Traditional Chinese Medicine Hospital,Xi’an 710200,Shaanxi,China)
关键词:
锁定接骨板; 肱骨距; 肱骨近端骨折
Keywords:
Locking bone plate; Humeral taus; Proximal humerus fracture
分类号:
R687
DOI:
10.3969/j.issn.1006-1959.2021.10.038
文献标志码:
A
摘要:
目的 研究锁定接骨板治疗累及肱骨距的肱骨近端骨折的临床效果。方法 选取2017年5月~2020年5月我院接诊的98例累及肱骨距的肱骨近端骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各49例。对照组采用常规切开复位内固定治疗，观察组采用锁定接骨板治疗，比较两组临床手术时间、术中出血量、骨折愈合时间、肱骨头高度丢失值、治疗疗效、肩关节功能（Constant-Mur1ey）评分、疼痛（VAS）评分以及并发症发生情况。结果 观察组手术时间、术中出血量、骨折愈合时间、肱骨头高度丢失值均小于对照组，差异有统计学意义（P＜0.05）。观察组临床治疗优良率为91.83%，高于对照组的81.63%，差异有统计学意义（P＜0.05）。观察组Constant-Mur1ey各维度（疼痛、肌力、活动与日常生活、肩关节活动度）评分均高于对照组，差异有统计学意义（P＜0.05）。观察组VAS评分低于对照组，差异有统计学意义（P＜0.05）。观察组并发症发生率为6.12%，低于对照组的14.28%，差异有统计学意义（P＜0.05）。结论 锁定接骨板治疗肱骨近端骨折累及肱骨距手术时间短，术中出血量少，对患者创伤小，可减小股骨头高度丢失，增强有效支撑，提高骨折愈合优良率，缩短骨折愈合时间，进而提高患者肩关节功能评分，且并发症发生几率小。
Abstract:
Objective To study the clinical effect of locking bone plates in the treatment of proximal humeral fractures involving the humeral talar.Methods A total of 98 patients with proximal humeral fractures involving the talar humerus who were admitted to our hospital from May 2017 to May 2020 were selected as the research objects. They were divided into a control group and an observation group using a random number table method, with 49 cases in each group.The control group was treated with conventional open reduction and internal fixation, and the observation group was treated with a locking bone plate.The clinical operation time, intraoperative blood loss, fracture healing time, humeral head height loss value, therapeutic effect, shoulder joint function (Constant-Murley) score, pain (VAS) score and complications were compared between the two groups.Results The operation time, intraoperative blood loss, fracture healing time, and loss of humeral head height in the observation group were lower than those in the control group,the difference was statistically significant (P<0.05).The clinical treatment excellent and good rate of the observation group was 91.83%, which was higher than 81.63% of the control group,the difference was statistically significant(P<0.05).The Constant-Murley scores of the observation group in all dimensions (pain, muscle strength, activity and daily life, shoulder joint mobility) were higher than those of the control group,the difference was statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group,the difference was statistically significant (P<0.05).The incidence of complications in the observation group was 6.12%, which was lower than 14.28% in the control group,the difference was statistically significant (P<0.05).Conclusion Locking bone plate treatment of proximal humeral fractures involving the humeral talus has a short operative time, less intraoperative blood loss, and less trauma to the patient. It can reduce the height loss of the femoral head, enhance effective support, improve the rate of fracture healing, and shorten the healing time. This improves the patient’s shoulder joint function score, and the incidence of complications is small.

参考文献/References:

[1]王烨明,李健,杨建华,等.肱骨近端内侧柱的解剖学测量研究[J].中华医学杂志,2018,98(39):3187-3191.[2]冷昆鹏,王艳华,陈建海,等.肱骨近端三维有限元模型的建立与生物力学分析[J].中国创伤骨科杂志,2015,17(4):326-330.[3]Cherney SM,Murphy RA,Achor TS,et al.Subscapularis peel for open reduction and internal fixation of proximal humerus fractureswith a head split[J].J Orthop Trauma,2018,32(12):e487-e491.[4]高哲辰,周方,田耘,等.锁定接骨板内固定治疗股骨远端骨折[J].中华创伤骨科杂志,2016,18(11):965-969.[5]曾浪清,陈云丰,唐三元,等.不同内侧柱支撑重建对锁定钢板固定治疗肱骨近端骨折的影响[J].中华创伤骨科杂志,2014,16(1):6-11.[6]曾周景,叶建华,谭通,等.肱骨近端骨折锁定钢板内固定术后影响肩关节功能的相关因素分析[J].中国矫形外科杂志,2016,24(16):1642-1465.[7]向明,杨国勇,邹义源,等.锁定钢板与髓内钉治疗肱骨近端骨折的疗效比较[J].中华骨科杂志,2017(21):1333-1341.[8]吴浩.锁定钢板与髓内钉治疗肱骨近端骨折疗效比较研究[D].东南大学,2018.[9]姜春岩,李奉龙,鲁谊,等.反球型人工肩关节假体置换术治疗复杂肱骨近端骨折[J].中华创伤骨科杂志,2014(10):834-838.[10]夏凯,牛素玲.肱骨近端复杂骨折临床治疗分析[J].临床研究,2018,26(1):127-129.[11]楚利涛.经皮微创锁定钢板内固定术对老年肱骨近端骨折患者术后肩关节功能恢复及生活质量的影响[J].河南医学研究,2017,26(8):1415-1416.[12]徐利民,毛素芳.经皮肱骨近端锁定加压接骨板内固定术治疗肱骨近端骨折临床观察[J].中国临床医生杂志,2019,47(12):1461-1463.[13]吕游,袁媛.肱骨近端骨折老龄骨质疏松患者采取锁定钢板配合MIPO技术的干预疗效探析[J].中国社区医师,2018,34(4):33-34.[14]Plate JF,Gaffney DL,Emory CL,et al.Randomized comparison of volar locking plates and intramedullary nails for unstable distal radius fractures[J].J Hand Surg Am,2015,40(6):1095-1101.

相似文献/References:

[1]郜 鹏.锁定接骨板治疗累及肱骨距的肱骨近端骨折的效果及对患者并发症、功能恢复的影响[J].医学信息,2022,35(13):113.[doi:10.3969/j.issn.1006-1959.2022.13.025]
　GAO Peng.Effect of Locking Plate in the Treatment of Proximal Humeral Fractures Involving Humeral Distance and its Effect on Complications and Functional Recovery[J].Medical Information,2022,35(10):113.[doi:10.3969/j.issn.1006-1959.2022.13.025]

更新日期/Last Update: 1900-01-01