闭合复位经皮穿针治疗移位的肱骨外科颈骨折  

Treatment of displaced humeral surg ical neck fractures with closed reduction and percutaneous pin fixation

作　　者：黄强[1] 姜春岩[1] 王满宜[1] 

机构地区：[1]北京积水潭医院创伤骨科,北京市100035

出　　处：《中华创伤骨科杂志》2005年第1期39-42,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的总结闭合复位经皮穿针治疗移位的肱骨外科颈骨折的方法及结果。方法2001年1月～2002年12月,采用闭合复位、经皮穿针治疗移位的肱骨外科颈骨折46例,仅对其中随访资料完整的34例患者进行分析。结果34例获得22个月(10～34个月)的平均随访。采用Constant-Murley评分方法,平均Constant-Murley绝对值为92分(76～100分),优良占86%(29/34),可占14%(5/34),无差病例。所有骨折在术后6～8周愈合,无固定失效,未出现肱骨头坏死病例。结论闭合复位经皮穿针治疗移位的肱骨外科颈骨折手术时间短、软组织损伤小、固定可靠,术后可早期功能锻炼,取针简便。Objective To summarize the methods and results of treatment of displaced humeral su rgical neck fractures with closed reductio n and percutaneous pin fixation.Methods We reviewed 46patients who had been diagnosed as the displaced hume ral surgical neck fractures and trea ted with closed reduction and percut aneous pin fixation usingФ2.5mm Kirschner wire with terminal t hread from January 2001to December 2002in our hospital.Results34patients received a complete follow-up.The mean follow-up time was 22months(10to 34months).Evaluation was done with Constant-M urley rating system.The mean absolu te Constant-Murley score was 92(76～100).86%(29/34)of the cases were excellent or good,14%(5/34)were fair,and none were poor.All the fractures united 6to 8weeks after operation,a nd no fixation failure or humeral hea d necrosis was found.Conclusion Treatment of displaced humeral surg ical neck fractures with closed reduction and percutaneous pin fixation can shorten operation time,lead to minimal soft tissue lesion and reliable fixation,and allow early functional exercis e after op-eration and easy removal of the wire. [

关 键 词：肱骨外科颈 骨折固定术 内 外科手术 闭合复位 

分 类 号：R687.3[医药卫生—骨科学]