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锁定加压钢板微创固定治疗肱骨近端骨折 被引量:7

Minimally invasive plate osteosynthesis of proximal humerus fracture with locking compression plate
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摘要 目的探讨采用微创接骨板技术(MIPO)植入锁定加压钢板(LCP)治疗肱骨近端骨折的临床效果。方法对26例肱骨近端骨折患者行MIPO技术植入LCP钢板内固定治疗,8例进行植骨。结果手术及术后恢复顺利,未出现相关并发症;平均随访10.8个月。按Neer评分结果,疗效为优14例,良10例,可2例;总优良率为92.3%。结论采用MIPO技术植入LCP钢板治疗肱骨近端骨折是一种合理可行的方法,能够提供稳定的固定,骨折愈合率高,并发症少,并有利于肩关节早期功能恢复。 Objective To evaluate minimally invasive plate osteosynthesis (MIPO)technique in the treatment of proximal humerus fracture by using locking compression plate(LCP). Methods 26 cases of proximal humerus fracture were treated with LCP by MIPO technique. Among them 8 cases had also been combind with bone-graft. Results Surgical procedure were successful and union occured in all cases, no complication occured. According to Neer, score, curative effect were excellent in 14 cases, good in 10 cases, common effect in 2 case, the excellent and good rate was 93.8%. Conclusions Treating proximal humerus fracture with LCP by MIP0 is a good and feasible surgical technique, it can attain a stable fixation, a high union rate as well as a low complication, and it does good to attain early functional reeouery of shoulder joint.
出处 《中国实用医药》 2010年第18期40-42,共3页 China Practical Medicine
关键词 肱骨近端 骨折 锁定加压钢板 微创经皮钢板内固定 骨折固定术 Proximal humerus Fracture Locking compression plate (LCP) Minimally invasive plate osteosynthesis(MIPO) Fracture fixation
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参考文献10

  • 1Wijgman AJ,Roolker W,Patt TW,et al.Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus.Bone Joint Surg (Am),2002,84-A:1919-1925.
  • 2巫伟东,詹伟彦,何开正,邱华文,黄醒中.锁定钢板治疗肱骨近端复杂骨折[J].中国矫形外科杂志,2003,11(22):1526-1528. 被引量:47
  • 3Neer CS.Displaced proximal humeral fractures.I.Classification and evaluation.J Bone Joint Surg (Am),1970,52:1077 -1089.
  • 4蔡春水,张毅,赵新建,曾明,黄星球.肱骨近端移位骨折的外科治疗[J].中国矫形外科杂志,2004,12(20):1544-1546. 被引量:25
  • 5Ring D,McKee MD,Perey BH,et al.The use of a blade plate and autogenous cancellous bone graft in the treatment of ununited fractures of the proximal humerus.Shoulder ElbowSurg,2001,10:501-507.
  • 6Nyffeler RW,Werner CML,Sukthankar A,et al.Association of a larger lateral extension of acro mion with rotator cuff tears.J Bone Joint Surg (Am),2006,88 (4):800-805.
  • 7Farouk O,Krettek C,Miclau T,et al.Minimally invasive plate osteosynthesis:Does percutaneous plating disrupt femoral blood supply less than the traditional technique.Orthop Trauma,2002,14:225.
  • 8Liew AS,Johnson JA,Patterson SD,et al.Effect of screw placement on fixation in the humeral head.Shoulder Elbow Surg,2000,9:423-426.
  • 9汤欣,曲巍,王守丰,于力,孙立众,吕德成.AO锁定肱骨近端接骨板治疗肱骨近端骨折[J].中华创伤杂志,2003,19(10):625-627. 被引量:12
  • 10姜保国,傅中国,张殿英,徐海林,李剑,范兵.肱骨近端骨折的外科治疗及术后康复[J].中华创伤杂志,2002,18(3):133-135. 被引量:101

二级参考文献22

  • 1屠重棋,杨志明,李志铭.肱骨近端三部和四部分骨折的外科治疗[J].中华创伤杂志,1997,13(1):27-28. 被引量:41
  • 2尚天裕 顾云伍.中西医结合治疗骨折临床经验集[M].天津:天津科学技术出版社,1984.335-336.
  • 3Muller ME Allgower M Schneider R 等主编 荣国威 翟桂华 刘沂 等译.骨科内固定[M].北京:人民卫生出版社,2000(3).86~87.
  • 4Wijgman Aj, Roolker W, Patt TW, et al.Open reduction and internal fixation of three and four - part fractures of the proximal part of the humerus. J Bone Joint Stag (Am),2002, 84 - A : 1919 - 1925.
  • 5Hessmann M, Baumgaertel F, Gelding H, et al. Plate fixation of proximal humeral with indirect reduction : surgical technique and resuits utilizing three shoulder scores. Injury,1999, 30:453 - 462.
  • 6Williams GR Jr, Wong KL. Two - part and three - part fractures : open reduction and internal fixation versus closed reduction and percutaneous pinning. Orthop Clin North Am, 2000, 31:1 -21.
  • 7Liew AS, Johnson JA, Patterson SD, et al.Effect of screw placement on fLxation in the humeral head. J Shoulder Elbow Surg,2000, 9:423 - 426.
  • 8Neer CS 2nd. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg ( Am), 1970, 52:1077 -1089.
  • 9Palmer SH, Handley R, WiUett K. The use of interlocked "customised" blade plates in the treatment of metaphyseal fractures in patients with poor bone stock. Injury, 2000,31:187 - 191.
  • 10Doursounian L, Grim.beg J, Cazeau C, et al. A new internal fixation technique for fractures of the proximal humerus the Bilboquet device: a report on 26 eases. J Shoulder Elbow Surg, 2000, 9:279 -288.

共引文献170

同被引文献38

  • 1刘峰.应用锁定加压钢板治疗肱骨近端骨折75例临床分析[J].中围冶金工业医学杂志,201l,28(5):536-537.
  • 2Neer C N.Displaced proximal humeral fractures.II.Treatment of three-part and four-part displacement[J].J Bone Joint Surg Am,1970,52(6):1090-1103.
  • 3Gardner M J,Griffith M H,Lorich D G.Helical plating of the proximal humerus[J].Injury,2005,36(10):1197-1200.
  • 4Fjalestad T,Iversen P,Hole M O,et al.Clinical investigation for displaced proximal humeral fractures in the elderly:a randomized study of two surgical treatments:reverse total prosthetic replacement versus angular stable plate Philos(The DELPHI-trial)[J].BMC Musculoskelet Disord,2014,15:323.
  • 5Slobogean G P,Johal H,Lefaivre K A,et al.A scoping review of the proximal humerus fracture literature[J].BMC Musculoskelet Disord,2015,16:112.
  • 6Bell J E,Leung B C,Spratt K F,et al.Trends and variation in incidence,surgical treatment,and repeat surgery of proximal humeral fractures in the elderly[J].J Bone Joint Surg Am,2011,93(2):121-131.
  • 7盛子建,马越虹,田耜奇,顾建月.锁定钢板与普通钢板治疗中青年肱骨近端骨折疗效的比较[J].中国骨伤,2008,21(9):684-685. 被引量:22
  • 8仲涛,杨冰,王志坚.应用MIPO技术以锁定钢板治疗肱骨近端骨折[J].中外医疗,2008,27(31):49-50. 被引量:4
  • 9姜保国,白露,张培训,王静,付中国,张殿英,王天兵,李茎源,颜勇卿.肱骨近端骨折的手术治疗[J].中华创伤骨科杂志,2009,11(5):404-407. 被引量:29
  • 10刘清毅,黄南翔,林宏.锁定加压钢板内固定治疗肱骨近端骨折[J].西部医学,2010,22(3):486-487. 被引量:12

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