锁定接骨板和前部肩峰成形术治疗肱骨近端骨折  

Therapy of fracture of proximal humerus with locking proximal humerus plate and anterior acromioplasty

作　　者：程飚[1] 林建平[1] 陈峥嵘[1] 

机构地区：[1]复旦大学附属中山医院骨科,上海200032

出　　处：《中国矫形外科杂志》2006年第6期428-430,共3页Orthopedic Journal of China

摘　　要：[目的]探讨和完善治疗肱骨近端粉碎骨折的手术方法。[方法]对12例肱骨近端骨折患者,在切开复位内固定的同时,行前部肩峰成形术。[结果]手术治疗12例病人术后随访6～24个月,平均12个月,骨折均愈合,肩关节活动良好,未发现有肱骨头缺血性坏死和骨折不愈合的现象。[结论]在肱骨近端骨折内固定手术治疗的同时应用前部肩峰成形术,可有效地预防手术后肩峰撞击征的发生,促进肩关节功能的恢复。准确的截骨量和术后早期锻炼是手术成功的关键。[ Objective] To explore the indications and operative techniques for comminuted fracture of proximal humerus. [ Method] Twelve patients with fracture of proximal humerus were chosen, observation was made after locking proximal humerus plate fixation with anterior acromioplasty. [ Result] The average follow-up period were 12 months （6 - 24months）. All patients＂ fracture in surgery group had been union and all shoulder had good functions. No incidence of avascular necrosis and nonunion was found. [ Conclusion] Rigid fixation of displaced comminuted fractures of proximal humerus with anterior acromioplasty is a simple and effective technique to prevent subacromial impingement syndrome after surgery. Precise osteotomy and early postoperative exercises are the key to success.

关 键 词：肱骨 骨折 内固定 前部肩峰成形 

分 类 号：R687.3[医药卫生—骨科学]