《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (4): 387-389.

• 论文 • 上一篇    下一篇

锁定加压钢板小切口入路治疗老年肱骨近端骨折观察

尚咏，伍骥，赵旭红，初冬，李松林   

  1. 空军总医院骨科，北京市 100142。
  • 收稿日期:2009-12-31 修回日期:2010-03-04 出版日期:2010-04-25 发布日期:2010-04-25

Fixation of Elderly Fracture of Proximal Humerus with Locking Compression Plate by Mini-incision Approach from Lateral Shoulder

SHANG Yong, WU Ji, ZHAO Xu-hong, et al.   

  1. Department of the Orthopedics, Air Force General Hospital of PLA, Beijing 100142,China
  • Received:2009-12-31 Revised:2010-03-04 Published:2010-04-25 Online:2010-04-25

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摘要： 目的探讨锁定加压钢板(locking compression plate, LCP)经小切口入路在老年肱骨近端骨折治疗中的临床疗效。方法应用LCP肩外侧小切口微创入路治疗老年肱骨近端骨折患者31例，其中男性13例，女性18例；年龄56岁～72岁，平均年龄62-8岁；骨折按Neer分类：二部分骨折8例，三部分骨折19例，四部分骨折4例。受伤原因：车祸9例，摔伤20例，打击伤2例；全部为闭合性骨折。结果术后随访6～36个月，平均约24个月。骨折愈合时间为2-2～6-4个月，平均3-7个月；无1例发生切口感染，未出现腋神经和旋肱血管损伤；随访末的最终疗效按Neer评分，优18例，良11例，可2例，优良率达93-5%。结论LCP肩外侧小切口入路治疗老年肱骨近端骨折，可减少软组织损伤及骨折断端残留血供的破坏，复位满意、固定坚强。术后可早期功能锻炼，防止关节粘连，是一种安全、微创、有效的治疗方法。

关键词: 小切口, 肱骨, 锁定加压钢板(LCP), 骨折

Abstract: ObjectiveTo investigate the clinical efficacy of the fixation of elderly fracture of proximal humerus with locking compression plate(LCP) by mini-incision approach from lateral shoulder.Methods31 elderly patients suffered from elderly fracture of proximal humerus were treated with locking compression plate(LCP) by mini-incision approach from lateral shoulder, male 13 cases, female 18 cases; aged from 56 to 72, average 62-8 years old; fractures according to Neer classification: type Ⅱ(8 cases), type Ⅲ (19 cases), type Ⅳ (4 cases). Cause of injuries: traffic accident (9 cases), falling (20 cases), other injuries(2 cases).ResultsThe patients were followed up 6 to 36 months, an average of about 24 months. Fracture healing time was 2-2 ～ 6-4 months, on average 3-7 months; No wound infection occurred. Post-operative functional score (Neer score) revealed: excellent(18 cases), good (11 cases), fair (2 cases), the ratio of excellent(18 cases), good (11 cases) was 93-5%. ConclusionFixation of elderly fracture of proximal humerus with locking compression plate(LCP) by minimally invasive approach from lateral shoulder is a safe, reliable and minimally invasive procedure with good reduction and stable fixation. Early post-operative functional exercise may be permitted for preventing shoulder joint adhesion.

Key words: mini-incision, humerus, locking compression plate (LCP), fracture