微创切口+锁定解剖钢板治疗肱骨近端骨折

Abstract

Abstract: Objective To investigate and analyze the application of minimal invasive incision combined with locking anatomical plate for treatment of proximal humeral fractures.Methods From May 2006 to October 2009,15 patients with proximal humeral fractures (Neer type Ⅱ-Ⅳ) were treated with T-shaped minimal invasive incision and locking anatomical plate including 8 males and 7 females at average age of 45.1 years old (range 19-82 years);13 fresh fractures cases,2 old injuries cases;8 fall on flat cases,3 traffic accidents cases,4 other injuries cases;6 Neer two-part fractures cases,8 Neer three-part fractures cases,1 Neer four-part fractures case.Results 15 patients were followed up for 18 months on average (12-24 months).The mean ASES score was 89.1±13.0 (55-100),mean VAS score was 0.9±1.1 (0-5) and mean Constant-Murley score was 88.5+10.1 (62-100).All fractures healed well in 15 patients and there was no avascular necrosis.Screw piercing occurred in 1 case and there was traumatic arthritis in 1 case.Conclusion Minimal invasive incision combined with locking anatomical plate is an effective method to treat proximal humeral fractures that can reduce injuries of muscle and ligament attachment points,promote functional recovery earlier,protect the blood supply of the proximal humerus and ensure the fracture healing effectively.

Key words: Minimal invasive, Locking anatomical plate, Treatment, Proximal humeral fractures

CLC Number:

R683.41

XIE Qing-xiang, LI Wei, HUANTG Hua, QUAN Di. Proximal humeral fractures treated by lockinganatomical plate with minimally invasive incision:Management and results[J]. 外科研究与新技术, 2013, 2(2): 106-109.

References

[1] 王亦聪.骨与关节损伤[M].3版.北京:人民卫生出版社,2001:482.
[2] Court-Brown CM,Garg A,McQueen MM.The epidemiology of proximal humeral fractures[J].Acta Orthop Scand,2001,72(4):365-371.
[3] 鲁谊,朱以明,姜春岩等.锁定钢板治疗肱骨近端骨折的并发症分析[J].中华创伤杂志,2008,24(10):808-813.
[4] Neer CS II.Four-segment classification of proximal humeral fractures:purpose and reliable use[J].J Shoulder Elbow Surg,2002,11(4):389-400.
[5] Hepp P,Lill H,Bail H,et al.Where should implants be anchored in the humeral head[J].Clin Orthop Relat Res,2003,415(10):139-147.
[6] 张殿英,杨明,徐海林.LCP治疗肱骨近端骨折[J].中国矫形外科杂志,2004,12(14):1055-1057.
[7] Hertel R,Hempfing A,Stiehler M,et al.Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus[J].J Shoulder Elbow Surg,2004,13(4):427-433.
[8] Meyer C,Alt V,Kraus R,et al.The arteries of the humerus and their relevance in fracture treatment[J].Zentralbl Chir,2005,130(6):562-567.
[9] Gallo RA,Zeiders GJ,Altman GT.Two-incision technique for treatment of complex proximal humerus fractures[J].Orthop Trauma,2005,19(10):734-740.
[10] Gardner MJ,Weil Y,Baker JU,et al.The importance of medial support in locked planting of proximal humerus fractures[J].J Orthop Trauma,2007,21(3):185-191.
[11] Fankhauser F,Boldin C,Schippinger G,et al.A new locking plate for unstable fractures of the proximal humerus[J].Clin Orthop Relat Res,2005,(430):176-181.
[12] Wagner M.General principles for the clinical use of the LCP[J].Injury,2003,34(11):31-42.
[13] Plecko M,Kraus A.Internal fixation of proximal humerus using the locking proximal plate[J].Oper Orthp Traumatol,2005,17(1):25-50.
[14] 张磊,杨海涛,曹前来.锁定钢板与常规手术治疗肱骨近端骨折疗效比较[J].中国矫形外科杂志,2004,12(10):728-731.

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Proximal humeral fractures treated by lockinganatomical plate with minimally invasive incision:Management and results

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