摘要
目的 讨论骨诱导活性材料（OAM）填塞和三叶钢板固定术治疗肱骨近端粉碎性骨折的疗效。方法 回顾分析2001年3月～2004年10月收治的35例肱骨近端粉碎性骨折临床资料，X线片表现为有移位短缩，经肩关节前入路进入复位，三叶草状钢板螺丝钉内固定，并在断端骨折缺失部填入金世植骨灵，术后吊带悬吊，3周后功能锻炼。结果 35例均获随访（平均10．6个月），肩关节外展〉90°，能捉物，X线片示无肱骨头坏死，骨折对位对线好，按Neer功能评分标准，优28例，良7例。结论 对于肱骨近端粉碎性骨折，运用三叶板固定和金世植骨灵植骨，固定牢固，尤其适合于伴有严重骨质疏松的老年患者，利于早期功能锻炼，避免人工关节置换。
Objective To study the efficacy of treatment of proximal humeral comminuted fractures using cloverleaf plate combined with ROX. Methods Thirty-five cases with serious proximal humeral comminuted fractures were admitted from Mar. 2001 to Oct. 2004. X-ray revealed displacement and crispation. After anterior reduction through the shoulder joint, the fractures were fixed with cloverleaf plates, the obvious osseous defects were filled with ROX. Then sling was applied for the patients postoperatively and the rehabilitation program was started 3 weeks after operation. Results All the 35 cases were followed up. The follow-up ranged from 4 to 18 months with an average of 10.6 months. The range of motion was satisfactory with a mean abduction over 90 degrees. X-ray revealed that no patient suffered from osteonecrosis of the humeral head. Union was achieved in all the patients. According to Neer＇s scale, the function of shouder was excellent in 28 cases, and good in 7 cases. Conclusion This method is recommended for proximal humeral comminuted fractures ,expecially for aged patients with osteoprosis, the method is convenient and reliable and can prevent replacement of joint prosthesis.
出处
《创伤外科杂志》
2006年第3期218-219,共2页
Journal of Traumatic Surgery
