中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (48): 8968-8975.doi: 10.3969/j.issn.2095-4344.2012.48.008

• 骨科植入物 orthopedic implant • 上一篇    下一篇

可吸收螺钉加可吸收线张力带与锁定钢板在骨折中的应用

郑煦光1，李力更2，梁俊生3，张立峰1，安志刚2   

  1. 唐山市第二医院，1急诊科，2创伤骨科，3老年骨科，河北省唐山市 063000
  • 收稿日期:2012-10-20 修回日期:2012-10-30 出版日期:2012-11-25 发布日期:2012-11-25
  • 通讯作者: 安志刚，副主任医师，河北省唐山市第二医院创伤骨科，唐山市 063000 zhengxuguang1@gmail.com
  • 作者简介:郑煦光★，男，1963年生，河北省唐山市人，汉族，2009年包头医学院毕业，硕士，主要从事创伤骨科方面研究。 zhengxuguang1@gmail.com

Application of absorbable screw plus absorbable suture tension band and locking plate in bone fracture

Zheng Xu-guang1, Li Li-geng2, Liang Jun-sheng3, Zhang Li-feng1, An Zhi-gang2   

  1. 1Department of Emergency, 2Department of Orthopaedic Trauma, 3Department of Orthopaedic Geriatrics, the Second Hospital of Tangshan, Tangshan 063000, Hebei Province, China
  • Received:2012-10-20 Revised:2012-10-30 Online:2012-11-25 Published:2012-11-25
  • Contact: An Zhi-gang, Associate chief physician, Department of Orthopaedic Trauma, the Second Hospital of Tangshan, Tangshan 063000, Hebei Province, China zhengxuguang1@gmail.com
  • About author:Zheng Xu-guang★, Master, Department of Emergency, the Second Hospital of Tangshan, Tangshan 063000, Hebei Province, China zhengxuguang1@gmail.com

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867

被引次数

6

摘要：

背景：目前针对老年肱骨大结节骨折固定治疗多采用锁定钢板内固定或张力带内固定等方法治疗。
目的：观察可吸收螺钉加可吸收线张力带内固定治疗老年肱骨大结节骨折的临床效果。
方法：将66例老年肱骨大结节骨折的患者随机分为治疗组34例及对照组32例。治疗组采用可吸收螺钉加可吸收线张力带内固定治疗，对照组采用锁定钢板内固定进行治疗。
结果与结论：全部病例均获随访，时间为半年至4年。治疗组患者肩关节功能评分为优的比例明显高于对照组(P < 0.05)。所有患者骨折均获得骨性愈合，无畸形愈合，治疗期间无死亡的病例发生，其中治疗组在固定时出血量，骨折愈合时间，住院时间及住院费用明显优于对照组(P < 0.05)。结果证实，可吸收螺钉加可吸收线张力带内固定治疗老年肱骨大结节骨折临床疗效较好。

关键词: 肱骨大结节, 骨折, 肩关节脱位, 老年, 可吸收螺钉, 可吸收线张力带, 锁定钢板, 骨性愈合, 组织工程

Abstract:

BACKGROUND: At present, the treatment of elderly humeral greater tuberosity fracture mainly depends on locking plate internal fixation or tension band internal fixation.
OBJECTIVE: To study the clinical effects of absorbable screw plus absorbable suture tension band internal fixation on the treatment of elderly humeral greater tuberosity fracture.
METHODS: Sixty-six patients with elderly humeral greater tuberosity fracture were divided into two groups: treatment group (n=34) and control group (n=32). The patients in the treatment group were treated with absorbable screws plus absorbable suture tension band internal fixation, the patients in the control group using locking plate internal fixation.
RESULTS AND CONCLUSION: All cases were followed-up for 6 months to 4 years. Shoulder function scores of the patients of the treatment group had the excellent proportion and were significantly higher than that of the control group (P < 0.05). The fracture of all patients was healed, no malunion, no death cases occurred during the treatment. The blood loss, fracture healing time, time of hospitalization, and hospital costs of the treatment group were significantly lower than those of the control group (P < 0.05). The results suggest that absorbable screws plus absorbable suture tension band internal fixation for the treatment of elderly humeral greater tuberosity fracture has good clinical effects.

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