| 欧阳永生,黄善武.内侧柱有效支撑对锁定钢板治疗肱骨近端骨折疗效的影响.骨科,2016,7(1): 45-48. |
| 内侧柱有效支撑对锁定钢板治疗肱骨近端骨折疗效的影响 |
| Influence of internal pillars support on prognosis of proximal humeral fractures treated by locking plate internal fixation |
| 投稿时间：2014-10-13 |
| DOI：10.3969/j.issn.1674-8573.2016.01.011 |
| 中文关键词: 肩骨折 内固定器 骨折固定术，内 治疗结果 |
| 英文关键词: Shoulder fractures Internal fixators Fracture fixation, internal Treatment outcome |
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| 中文摘要: |
| 目的 探讨内侧柱有效支撑对锁定钢板治疗肱骨近端骨折疗效的影响。方法 回顾性分析2010年2月至2014年2月72例行锁定钢板内固定治疗肱骨近端骨折的患者，按照肱骨近端骨折块有无内侧柱有效支撑分为支撑组（38例）和无支撑组（34例）。术后随访测量两组患者的肱骨头高度丢失值，并采用Neer评分法评价肩关节功能。结果 72例患者随访12~24个月，平均16.9个月，至末次随访时所有患者均获得骨性愈合。两组患者的肱骨头高度丢失值分别为（1.35±0.63） mm和（6.14±2.84） mm，支撑组明显小于无支撑组，差异有统计学意义（t=3.093，P=0.012）。两组的肩关节功能Neer评分优良率分别为100.0%和76.5%，支撑组明显高于无支撑组，差异有统计学意义（χ2=4.072，P=0.025）。支撑组未出现明显并发症；无支撑组发生3例螺钉松动，4例螺钉穿出关节面，螺钉穿出关节面者均行二次手术取出或更换螺钉。结论 锁定钢板内固定治疗肱骨近端骨折不能完全支撑肱骨头，内侧柱有效支撑可以更好地维持复位，改善预后。 |
| 英文摘要: |
| Objective To explore the influence of the internal pillars support on the prognosis of the proximal humeral fractures treated by the locking plate internal fixation. Methods The clinical data of 72 patients with proximal humeral fractures treated by the locking plate internal fixation from February 2010 to February 2014 were retrospectively analyzed. The 72 patients were divided into the internal pillars support group (38 cases) and control group (34 cases). During the postoperative follow-up period, the height loss of the humerus head was measured, and the shoulder joint function was evaluated using Neer grading in the two groups. Results Seventy-two patients were followed up for 12-24 months (mean 16.9 months), and all patients obtained osseous healing at the final follow-up. The height loss of the humerus head in support group and control group was (1.35±0.63) mm and (6.14±2.84) mm respectively (t=3.093, P=0.012). The shoulder function Neer score’s excellent and good rate in support group and control group was 100% and 76.5% respectively (t=4.072, P=0.025). No obvious complications occurred in support group, and in control group, screw loose occurred in 3 cases, and screw piercing through the joint surface in 4 cases. Conclusion The internal pillars support of the proximal humeral fractures treated by the locking plate internal fixation can effectively maintain reset, and improve the prognosis. |
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