中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (13): 2366-2369.doi: 10.3969/j.issn.1673-8225.2012.13.020

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

肱骨近端锁定接骨板植入治疗老年骨质疏松性肱骨近端骨折：12个月结果随访★

孙官文   

  1. 内蒙古自治区人民医院创伤骨科，内蒙古自治区呼和浩特市 010017
  • 收稿日期:2011-09-21 修回日期:2011-12-21 出版日期:2012-03-25 发布日期:2012-03-25
  • 作者简介:孙官文★，男，1973年生，内蒙古自治区乌兰察布市人，蒙古族、2008年内蒙古医学院毕业，硕士，副主任医师，主要从事显微外科研究。sungunawen@sina.com

Implantation of locking proximal humeral plate for osteoporotic fractures of the proximal humerus in the elderly: A 12 months follow-up

Sun Guan-wen   

  1. Department of Orthopedic Trauma, People’s Hospital of Inner Mongolia Autonomous Region, Hohhot  010017, Inner Mongolia Autonomous Region, China
  • Received:2011-09-21 Revised:2011-12-21 Online:2012-03-25 Published:2012-03-25
  • About author:Sun Guan-wen★, Master, Associate chief physician, Department of Orthopedic Trauma, People’s Hospital of Inner Mongolia Autonomous Region, Hohhot 010017, Inner Mongolia Autonomous Region, China sungunawen@sina.com

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摘要：

背景：微创钢板接骨技术的开展及内固定物的改进，为老年骨质疏松肱骨近端骨折提供了可靠的治疗方式。
目的：应用间接复位经皮微创肱骨近端锁定钢板固定治疗老年性骨质疏松症患者肱骨近端骨折。
方法：采用肩外侧横小切口经三角肌入路，关节囊外手法将骨折复位后，将肱骨近端锁定钢板从切口内插入固定技术治疗老年性肱骨近端39例。置入内固定后应用Neer评分系统对肩关节进行功能评定。
结果与结论：患者均获随访12个月以上，无再次移位、内固定物松动断裂及螺钉进入关节间隙、肱骨头缺血性坏死等并发症，所有骨折均愈合，平均愈合时间12.3周(10~16周)，肩关节功能采用Neer评分：优良29例，可8例，差为2例，优良率75.3%。结果表明，微创经皮钢板植入接骨治疗老年肱骨近端骨质疏松性骨折，具有血运破坏少和固定稳定的特点。
关键词：微创钢板接骨技术；老年人；骨质疏松；肱骨近端骨折；内固定
doi:10.3969/j.issn.1673-8225.2012.13.020

关键词: 微创钢板接骨技术, 老年人, 骨质疏松, 肱骨近端骨折, 内固定

Abstract:

BACKGROUND: Development of minimally invasive plate osteosynthesis (MIPO) and improvement of internal fixatior provides a reliable treatment for osteoporotic fractures of the proximal humerus in the elderly.
OBJECTIVE: To apply locking proximal humeral plate (LPHP) implanted by MIPO for osteoporotic fractures of the proximal humerus in the elderly.
METHODS: Totally 39 cases with proximal humeral fractures were observed. By the skill of MIPO, lateral shoulder horizon minor incision was made by the way of trigonal muscle, fractures reduction was made by extracapsular maneuver, then LPHP was planted into the incision above. After implantation, the shoulder function were evaluated by Neer scoring system.
RESULTS AND CONCLUSION: All the cases were followed-up for over 12 months. Neither misplacement, mobilize and fracture of internal fixation material, nor screw in articular capsule, and caput femoris necrosis developed. All fractures healed at 10-16 weeks after implantation (averaged 12.3 weeks). The shoulder function was evaluated by Neer scoring system: excellent and good rate were 75.3%, and there were 29 cases for excellent and good, 8 cases for normal and 2 cases for poor. The skill of LPHP implanted by MIPO can treat the osteoporotic fractures of the proximal humerus in elderly, which has the characteristics of less blood circulation damage and stabilized fixation. 

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