T形钢板治疗肱骨近端三、四部分骨折的疗效分析  

Clinical Outcome of Three and Four-part Fractures of the Proximal Part of the Humerus with T-plate

作　　者：朱伟[1] 朱礼贤[1] 顾联[1] 赵春明[1] 

机构地区：[1]泰州市人民医院骨科,江苏泰州225300

出　　处：《实用骨科杂志》2008年第3期141-143,共3页Journal of Practical Orthopaedics

摘　　要：目的评价T形钢板内固定治疗肱骨近端三部分和四部分骨折的疗效。方法用T形钢板治疗三部分或四部分骨折患者63例。结果63例患者中有56例获得随访,随访时间为3～8年(平均5年)。按照Neer′s肩关节功能评定标准,优良46例,可2例,差8例。19例发生肱骨头缺血坏死,其中14例疗效评定优良。结论大多数肱骨近端三部分或四部分骨折患者行切开复位T形钢板内固定产生很好效果,对于易产生肱骨头缺血坏死的骨折脱位患者也可考虑这一方法,因为这一并发症并不意味着一定产生坏的功能结果。Objective To evaluate the clinical outcome of open reduction and internal fixation of three and fourpart fractures of the proximal part of the humerus with T- plate. Methods Sixty-three patients with a three or fourpart fracture of the proximal part of the humerus had undergone open reduction and internal fixation with T-plate. Resuits Of the 63 cases,56 were followed up from 3 to 8 years（averaging 5 years）. According to Neer＇s criteria,fortysix patients had a good or excellent result whereas two patients had a moderate result and eight patients a poor result. nineteen patients had development of avascular necrosis of the humeral head,and fourteen of these nineteen patients had a good or excellent Constant score. Conclusion Open reduction and internal fixation with T-plate yields good functional results in most patients. This option should be considered even for patients with fracture-dislocation patterns that are associated with a high risk for avascular necrosis of the humeral head ,as this complication did not preclude a good result.

关 键 词：肱骨近端骨折 T形钢板 内固定 缺血坏死 

分 类 号：R683.41[医药卫生—骨科学]