期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

微创钢板内固定术在肱骨干骨折治疗中的应用 被引量：16

下载PDF
导出
摘要 目的探讨应用微创钢板内固定术（MIPO）治疗肱骨干骨折的临床疗效。方法对18例肱骨干骨折（肱骨干中段骨折8例，中下段10例；AO分型为A型3例，B型13例，C型2例）患者应用MIPO治疗，行骨折远、近端上臂前方小切口，透视下闭合复位骨折，并于肱骨前方肌下隧道放置LCP钢板固定。记录手术时间、术后并发症、骨折愈合时间、肩关节及肘关节活动范围。肩关节功能采用UCLA评分评价，肘关节功能采用MAYO评分评价。结果手术顺利，手术时间58～129min，平均77．6min。术后无医源性桡神经损伤，患者获得6个月-2a的随访，骨折愈合时间12～20周，平均14．8周。肩关节外展90°-120°，平均112．2°，前屈150°～170°，平均165．3°。肘关节伸直0°-10°，平均0．8°，屈曲120°-140°，平均132．2°。肩关节功能依据UCLA评分标准为优16例，良2例。肘关节功能依据MAYO评分标准为优16例，良2例。结论MIPO用于肱骨干骨折效果确切。
作者 陈伟 江毅 肖连平 江汉 刘智 田永刚
机构地区 天津市第三中心医院
出处 《山东医药》 CAS 2013年第31期37-39,共3页 Shandong Medical Journal
关键词 钢板内固定术 肱骨干骨折 UCLA评分 MAYO评分
分类号 R683.41 [医药卫生—骨科学]
  • 相关文献

参考文献10

  • 1Bhandari M, Devereaux PJ, McKee MD, et al. Compression plat- ing versus intramedullary nailing of humeral shaft fractures-a meta- analysis[J]. Acta Orthop, 2006,77(2) :279-284.
  • 2Numbela BX, Aceves LH, Gonzalez AB, et al. Minimally invasive surgery in diaphyseal humeral fractures with helicoidal plate. One year result in seven patients[J]. Acta Ortop Mex, 2007,21 (5) : 239-246.
  • 3Ziran BH, Belangero W, Livani B, et al. Percutaneous plating of the humerus with locked plating: technique and ease report [J].J Trauma, 2007,63( 1 ) :205-210.
  • 4Paris H, Tropiano P, Clouet D'orval B, et al. Fractures of the shaft of the humerus : systematic plate fixation. Anatomic and func- tional results in 156 cases and a review of the literature[J]. Rev Chir Orthop Reparatrice Appar Mot, 2000,86(4) :346-359.
  • 5Kobayashi M, Watanabe Y. Early full range of shoulder and elbow motion is possible after minimally invasive plate osteosynthesis for humeral shaft fractures [ J ]. J Orthop Trauma, 2010,24 ( 4 ) : 212- 216.
  • 6Coneha JM, Sandoval A, Streubel PN. Minimally invasive plate osteo-synthesis for humeral shaft fractures: are results reproducible [ J]. Int Orthop, 2010,34 ( 8 ) : 1297-1305.
  • 7Shetty MS, Kumar MA, Sujay K, et al. Minimally invasive plate osteosynthesis for humerus diaphyseal fractures [ J ]. Indian J Or- thop,2011,45 (6) :520-526.
  • 8Apivatthakakul T, Arpornchayanon O, Bavornratanavech S. Mini- really invasive plate osteosynthesis ( MIPO ) of the humeral shaft fracture: Is it possible? A cadaveric study and preliminary report [J]. Injury, 2005,36(4) :530-538.
  • 9安智全,曾炳芳,何小健,黄沛彦.微创钢板固定技术治疗伴桡神经麻痹的肱骨干中下段骨折[J].中国修复重建外科杂志,2008,22(5):513-515. 被引量：13
  • 10Kobayashi M, Watanabe Y, Matsushita T. Early full range of shoulder and elbow motion is possible after minimally invasive plate osteosynthesis for humeral shaft fractures [ J ]. J Orthop Trauma, 2010,24(4) :212-216.

二级参考文献17

  • 1谢小平,叶蜀新,林海,江伟,罗强.钢板前置固定治疗肱骨中下段骨折[J].中国修复重建外科杂志,2005,19(3):195-197. 被引量：13
  • 2张国柱,蒋协远.闭合复位带锁髓内钉适宜治疗合并桡神经损伤的肱骨干骨折吗?[J].中华创伤骨科杂志,2006,8(7):606-608. 被引量：6
  • 3安智全,曾炳芳,王烨明,张驰,黄沛彦.用MIPO技术治疗肱骨干中下段骨折的解剖及初步临床报告[J].中华手外科杂志,2006,22(6):336-338. 被引量：55
  • 4Shao YC, Harwood P, Grotz MR, et al. Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. J Bone Joint Surg (Br), 2005, 87(12): 1647-1652.
  • 5Ekholm R, Adami J, Tidermark J, et al. Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg (Br), 2006, 88(11): 1469-1473.
  • 6Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of the long bones: retrospective and prospective analysis. J Bone Joint Surg (Am), 1976, 58(4): 453-458.
  • 7Muller ME. The principle of the dassification//Muller ME, Allgoower M, Schneider R, eds. Manual of internal fixation: techniques recommended by the AO-ASIF group. New York: Springer-Verlag, 1991: 118-120.
  • 8Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of fractors influencing reconstruction. J Bone Joint Surg(Am), 1986, 68(5): 1136-1144.
  • 9Gill DR, Morrey BF. The Coonrad-Morrey total elbow arthroplasty in patients who have rheumatoid arthritis. A ten to fifteen-year follow-up study. J Bone Joint Surg(Am), 1998, 80(9): 1327-1335.
  • 10Ring D, Chin K, Jupiter lB. Radial nerve palsy associated with high-energy humeral shaft fractures. J Hand Surg(Am), 2004, 29(1): 144-147.

共引文献12

同被引文献108

引证文献16

二级引证文献47

山东医药
2013年 第31期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部