摘要
目的探讨闭合复位Trigen髓内钉内固定治疗青壮年内翻型肱骨近端骨折的疗效。方法回顾性分析作者医院骨科2015-01/2019-01采用闭合复位Trigen髓内钉内固定治疗的24例内翻型肱骨近端骨折青壮年患者的临床资料。统计每位患者的手术时间及术中出血量,并根据患者术后1年的骨折愈合情况、肩关节Constant-Murely功能评分及肩关节活动范围评估手术疗效。结果所有患者随访12~48(19.50±9.24)个月,均未发生伤口感染,神经、血管损伤,骨不连或肱骨头缺血性坏死,螺钉松动等并发症。手术时间40~120(66.67±24.08)min,术中出血量50~200(91.25±37.22)ml。术后1年随访,所有患者骨折均达到骨性愈合,术后1年Constant-Murely评分75~95(85.50±6.48)分,术后1年肩关节活动范围:外展90~160(118.75±24.33)°,上举90~180(135.00±22.55)°,后伸20~50(35.42±9.77)°,内旋20~45(29.38±8.51)°,外旋30~45(36.67±6.54)°。结论闭合复位Trigen髓内钉内固定治疗青壮年内翻型肱骨近端骨折闭合复位创伤小、固定可靠、手术安全且并发症少、肩关节功能恢复快。
Objective To investigate the efficacy of closed reduction Trigen intramedullary nail fixation in the treatment of varus proximal humerus fracture in young adults.Methods A total of 24 patients with varus proximal humerus fracture in young adults who treated with closed reduction Trigen intramedullary nail fixation from January 2015 to January 2019 in author′s hospital were retrospectively analyzed.The operation time and intraoperative bleeding volume of patients′were counted,and the operation effect was evaluated according to the fracture healing,shoulder Constant-Murely function score and shoulder joint activity range of 1 year after operation.Results All patients were followed up for 12~48(19.50±9.24)months.There were no wound infection,nerve and vascular injury,nonunion or ischemic necrosis of humerus head,screw loosening.The operation time was 40~120(66.67±24.08)min,intraoperative bleeding was 50~200(91.25±37.22)ml.After 1 year follow-up,the bone healing was found,the Constant-Murely score was 75~95(85.50±6.48)points,activity range of shoulder joint was 90~160(118.75±24.33)°in abduction,90~180(135.00±22.55)°in lifting up,20~50(35.42±9.77)°in extension,20~45(29.38±8.51)°in internal rotation,30~45(36.67±6.54)°in external rotation.Conclusion Closed reduction Trigen intramedullary nail internal fixation in the treatment of young adults varus proximal humerus fracture is small trauma,reliable fixation,less complications and quick recovery of shoulder joint function.
作者
丰瑞兵
王华松
蔡贤华
杨晨曦
庞炯宇
姜壮
李彦锦
FENG Ruibing;WANG Huasong;CAI Xianhua;YANG Chenxi;PANG Jiongyu;JIANG Zhuang;LI Yanjin(College of Acupuncture and Orthopedics,Hubei University of Chinese Medicine,Wuhan Hubei 430065.China)
出处
《华南国防医学杂志》
CAS
2020年第9期622-625,共4页
Military Medical Journal of South China
基金
湖北省卫计委医药科研项目(WJ2019H097)。
关键词
闭合复位
内固定
肱骨近端骨折
髓内钉
内翻
Closed reduction
Internal fixation
Proximal humerus fracture
Intramedullary nail
Varus
