摘要
目的分析采用TriGen交锁髓内钉联合带线锚钉技术治疗Neer III、IV型肱骨近端内翻型骨折的临床疗效。方法自2015年6月至2017年6月,我们采用TriGen交锁髓内钉联合带线锚钉技术对23例Neer ID.IV型肱骨近端内翻型骨折患者进行治疗,其中Neer ID型15例,Neer IV型8例。术后随访骨折愈合时间,术后1年测量肩关节活动范围,并行美国肩肘外科医师协会(American Shoulder and Elbow Surgeons,ASES)评分、Constant-Murley评分及视觉模拟评分(visual analogue scale,VAS)o结果术后所有患者均获得随访,时间为12〜16个月,平均14个月。所有骨折均愈合,愈合时间为2~4个月,平均3个月,未出现伤口感染、肩袖损伤、腋神经损伤等并发症。术后1年随访ASES评分为(91.00±3.04)分、Constant-Murley评分为(90.00±3.21)分、VAS疼痛评分为(0.42±0.38)分。结论对于Neer ID、IV型复杂肱骨近端内翻型骨折,采用TiiGen交锁髓内钉联合带线锚钉技术治疗,增加了对肱骨大小结节固定的强度,符合整体固定理念,利于早期功能康复,术后取得了较好的疗效,是一种可靠的微创治疗方法。
Objective To analyze the clinical efficacy of TriGen interlocking intramedullary nail combined with suture anchor in the treatment of Neer type III and IV proximal humeral varus fractures.Methods From June 2015 to June 2017,23 patients with proximal humeral varus fractures of Neer type ID and IV were treated with TriGen interlocking intramedullary nail combined with suture anchor technique,including 15 cases of Neer type III and 8 cases of Neer type IV.The fracture healing time was followed up.The range of motion of shoulder joint was measured one year after operation.American Shoulder and Elbow Surgeons(ASES)score,Constant-Murley score and visual analogue scale(VA.S)were performed.Results All the patients were follow-up for 12 to 16 months,with an average of 14 months.All fractures healed 2 to 4 months after operation,with an average of 3 months.No complications such as wound infection,rotator cuff injury and axillary nerve injury occurred.The ASES score,Constant-Murley score and VAS were(91.00±3.04),(90.00±3.21)and(0.42±0.38)respectively.Conclusion For Neer type IB and IV complex proximal humerus varus fractures,TriGen interlocking intramedullary nail combined with suture anchor technique is used to treat it,which increases the strength of fixing the humeral nodules,conforms to the concept of overall fixation,is conducive to early functional rehabilitation,and achieves good results after operation.It is a reliable minimally invasive treatment method.
作者
崔崟
王秀会
王明辉
付备刚
高峰
郭万恺
Cui Yin;WangXiuhui;WangMinghui;Fu Beigang;Gao Feng;Guo Wankai(Department of Orthopedics,Zhoupu Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai 201318,China)
出处
《中华手外科杂志》
CSCD
北大核心
2020年第1期16-19,共4页
Chinese Journal of Hand Surgery
基金
上海健康医学院种子基金项目(SFP-18-21-174J05)
浦东新区卫生和计划生育委员会临床特色学科建设项目(PWYts2018-02)
浦东新区卫生系统重点学科群建设资助(PWZxq2017-12)。
关键词
肱骨骨折
外科手术
近端
髓内钉
锚钉
Humeral fractures
Surgical procedures
operative
Proximal
Intramedullary nail
Anchor
