[1]李 晗,徐执扬,吴冯胜,等.Multiloc髓内钉治疗老年骨质疏松性肱骨近端骨折的临床疗效[J].医学信息,2024,37(02):115-119.[doi:10.3969/j.issn.1006-1959.2024.02.022]
　LI Han,XU Zhi-yang,WU Feng-sheng,et al.Clinical Efficacy of Multiloc Intramedullary Nail in the Treatment of Osteoporotic Proximal Humeral Fractures in the Elderly[J].Journal of Medical Information,2024,37(02):115-119.[doi:10.3969/j.issn.1006-1959.2024.02.022]
点击复制

Multiloc髓内钉治疗老年骨质疏松性肱骨近端骨折的临床疗效()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年02期
页码:
115-119
栏目:
论著
出版日期:
2024-01-15

文章信息/Info

Title:
Clinical Efficacy of Multiloc Intramedullary Nail in the Treatment of Osteoporotic Proximal Humeral Fractures in the Elderly
文章编号:
1006-1959（2024）02-0115-05
作者:
李 晗; 徐执扬; 吴冯胜; 等
（北京市垂杨柳医院/清华大学附属垂杨柳医院骨一科，北京 100022）
Author(s):
LI Han; XU Zhi-yang; WU Feng-sheng; et al.
(The First Department of Orthopaedics,Beijing Chuiyangliu Hospital/Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China)
关键词:
Multiloc 髓内钉; Phlios钢板; 肱骨近端骨折; 骨质疏松
Keywords:
Multiloc intramedullary nail; Phlios plate; Proximal humeral fracture; Osteoporotic
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2024.02.022
文献标志码:
A
摘要:
目的 探讨Multiloc髓内钉对老年骨质疏松性肱骨近端骨折的临床治疗效果。方法 选取2017年3月-2020年6月北京市垂杨柳医院收治的肱骨近端骨折合并骨质疏松老年患者47例，依据手术方式分为观察组（24例）与对照组（23例），对照组行Phlios钢板内固定治疗，观察组行Multiloc髓内钉内固定治疗。比较两组手术指标、手术前后视觉模拟疼痛量表评分（VAS）、欧洲肩关节协会评分（Constant）及并发症情况。结果 观察组手术时间、住院时间、术中出血量低于对照组，差异有统计学意义（P＜0.05）；末次随访时，观察组VAS评分低于对照组，肩关节功能Constant评分高于对照组，差异有统计学意义（P＜0.05）；观察组术后并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论 Multiloc 髓内钉固定治疗老年骨质疏松性肱骨近端骨折可有效改善患者肩关节功能，疼痛轻、并发症少，有利于肩关节活动恢复。
Abstract:
Objective To investigate the clinical treatment effect of Multiloc intramedullary nail on osteoporotic proximal humeral fracture in the elderly patients.Methods A total of 47 elderly patients with osteoporotic proximal humeral fracture admitted to Beijing Chuiyangliu Hospital from March 2017 to June 2020 were selected and divided into observation group (24 patients) and control group (23 patients) according to the operation method. The control group was treated with Phlios plate internal fixation, and the observation group was treated with Multiloc intramedullary nail internal fixation. The surgical indicators, Visual Analogue Pain Scale (VAS) score, European Shoulder Association score (Constant) and complications before and after surgery were compared between the two groups.Results The operation time, hospitalization time and intraoperative blood loss in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). At the last follow-up, the VAS score of the observation group was lower than that of the control group, and the Constant score of shoulder joint function was higher than that of the control group, the differences were statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05).Conclusion Multiloc intramedullary nail fixation can effectively improve the shoulder joint function for the treatment of osteoporotic proximal humeral fractures in the elderly, with less pain and fewer complications, which is conducive to the recovery of shoulder joint activity.

参考文献/References:

[1]Okike K,Lee OC,Makanji H,et al.Factors associated with the decision for operative versus non-operative treatment of displaced proximal humerus fractures in the elderly[J].Injury,2013,44(4):448-455.[2]Papakonstantinou MK,Hart MJ,Farrugia R,et al.Prevalence of non-union and delayed union in proximal humeral fractures[J].ANZ J Surg,2017,87(1-2):55-59.[3]封挺,李军,陈梓峰,等.MultiLoc 髓内钉与 PHILOS 钢板治疗肱骨 近端骨折的疗效对比研究[J].创伤外科杂志,2020,22(7):513-516.[4]祝捷,杨运发,肖学军. Multiloc髓内钉与Philos钢板治疗Neer二、三部分肱骨近端骨折的疗效比较[J].实用医学杂志,2021,37(11):1450-1455. [5]白求恩·骨科加速康复联盟,白求恩公益基金会创伤骨科专业委员会,白求恩公益基金会关节外科专业委员会,等.加速康复外科理念下肱骨近端骨折诊疗规范的专家共识[J].中华创伤骨科杂志,2020,22(3):187-196. [6]Sung YT,Wu JS.The Visual Analogue Scale for Rating, Ranking and Paired-Comparison (VAS-RRP): A new technique for psychological measurement[J].Behav Res Methods,2018,50(4):1694-1715. [7]田子睿,姚敏,王拥军,等.中文版Constant-Murley肩关节评分量表的研制与应用[J].中医正骨,2019,31(5):20-21,25.[8]王铁男,王建川,秦松,等.老年骨质疏松性肱骨近端骨折切开复位植骨内固定的临床疗效[J].实用老年医学,2021,35(3):308-310.[9]杨朝旭,邢栋,张隆,等.老年骨质疏松性骨折术后再骨折的流行病学调查[J].中国骨与关节损伤杂志,2022,37(3):277-279.[10]司元龙,冯康虎,申建军,等.老年肱骨近端骨折的诊治现状与进展[J].中国骨与关节杂志,2021,10(12):904-908. [11]邹义源,向明,陈杭,等. Neer二部分肱骨外科颈骨折微创治疗:Phlios钢板与Multiloc髓内钉对比[J].中国组织工程研究,2018,22(19):2981-2987. [12]周果,曹臣,宋善新,等. Phlios钢板与Multiloc髓内钉治疗肱骨近端骨折的效果比较[J].中国实用医刊,2020,47(15):58-61. [13]张林,汤瑨,钱冬晨,等. Multiloc髓内钉与PHILOS术治疗肱骨近端骨折的效果对比[J].湖南师范大学学报（医学版）,2022,19(4):24-28. [14]金万通,刘兵,纪振钢,等.Multiloc髓内钉与Philos锁定钢板治疗老年Neer二、三部分肱骨近端骨折的疗效对比[J].局解手术学杂志,2022,31(3):202-206. [15]刘冰,张强,张明.Multiloc髓内钉与肱骨近端锁定钢板治疗NeerⅡ型老年肱骨外科颈骨折的效果对比[J].中国医药导报,2020,17(30):91-94.[16]秦耕,周君琳.Multiloc髓内钉治疗肱骨近端骨折的临床疗效分析[J].中华肩肘外科电子杂志,2019,7(4):314-318.[17]金鹏宇,史景超,黄宁,等.Multiloc髓内钉内固定与锁定接骨板内固定治疗肱骨近端骨折的比较研究[J].中医正骨,2021,33(6):6-10. [18]陈维,邢飞,段鑫,等.MultiLoc髓内钉技术在肱骨近端骨折中的应用[J].华西医学,2020,35(12):1535-1539. [19]鲍飞龙,姬广伟,亢世杰,等.MultiLoc髓内钉技术在肱骨近端骨折中的应用和体会[J].中华肩肘外科电子杂志,2021,09(1):42-47. [20]左思力,赵东晓,何映山,等.Multiloc髓内钉治疗三部分肱骨近端骨折[J].中国矫形外科杂志,2021,29(6):567-569.

更新日期/Last Update: 1900-01-01