摘要
目的探讨微创锁定加压钢板(locking compression plate,LCP)内固定治疗老年肱骨近端骨折的临床治疗效果。方法对我院2007年5月至2011年1月采用微创LCP治疗的23例(单侧22例,双侧1例)老年肱骨近端骨折患者进行回顾性分析,依据Neer肩关节评分标准进行疗效评估。结果手术时间80～112min,平均92min;术中出血80～300mL,平均147mL。手术切口长度8.5～12.4cm,平均9.8cm。23例患者获随访4～13个月,平均6.5个月。骨折愈合时间3～6个月,平均4.6个月。随访期X线片示骨折复位良好,其中解剖复位16侧,接近解剖复位8侧,无畸形愈合。未出现肱骨头缺血性坏死,无血管、神经损伤,无内固定物失效。按Neer评分标准,优11侧,良10侧,可2侧,差1侧,优良率87.5%。结论微创LCP内固定治疗老年人肱骨近端骨折术中出血少,创伤小,固定可靠,临床效果满意,尤其适合于NeerⅡ、Ⅲ型骨折。
Objective To study the effects of minimally invasive locking compression plate（LCP） fixation in the treatment of humeral proximal fractures in elderly people. Method From May 2007 to Janauary 2011, 23 elderly patients（22 cases in one side and 1 case in both sides） with humeral proximal fractures treated by minimally invasive LCP in our hospital were analyzed retrospectively. Clinical outcome were evaluated according Neer shoulder scores. Results Operation time was from 80 to 112 min with the average of 92 min, estimate blood loss was from 80 to 300 mL with the average of 147 mL, the incision length was from 8.5 to 12.4 cm with the average of 9.8 cm. All patients were followed up from 4 to 13 months with the average of 6.5 months. Time for fracture healing was from 3 to 6 months with the average of 4.6 months. During the follow-up period, X-ray examination showed good reduction including anatomic reduction 16 sides, near anatomic reduction 8 sides. There were no malunion and no avascular necrosis of humeral head. Also, No vascular or nerve injuries and no implants failure occurred in those cases. According to the Neer shoulder scores, the results showed excellent in 11 sides, good in 10 sides, fair in 2 sides and poor in 1 side, the excellent and good rate was 87.5% . Conclusion Minimally invasive LCP is effective method for humeral proximal fracture in elderly people due to less blood loss and invasive, reliable fixation and satisfactory healing, especially for the treatment of type Ⅱand Ⅲ fractures according to Neer classification.
出处
《中国骨科临床与基础研究杂志》
2011年第2期101-104,共4页
Chinese Orthopaedic Journal of Clinical and Basic Research
关键词
肱骨骨折
骨折固定术
内
骨板
外科手术
微创性
老年人
Humeral fractures
Fracture fixation
internal
Bone plates
Surgical procedures
minimally invasive
Aged
