肱骨近端粉碎性骨折的手术治疗  

Operative Treatment of Comminuted Fractures of Proximal Humerus

作　　者：肖琳[1] 姚建锋[1] 李毅[1] 马建兵[1] 张育民[1] 王军伟[1] 许鹏[1] 

机构地区：[1]西安市红十字会医院骨关节科,710054

出　　处：《美中国际创伤杂志》2009年第1期25-27,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：讨论肱骨近端粉碎性骨折的手术效果。方法：2004年11月至2007年12月，手术治疗粉碎移位的肱骨近端骨折80例，行切开复位内同定手术65例，其中选用肱骨近端解剖型钢板28例、肱骨近端锁定钢板22例，三叶草钢板15例，行人工肱骨头置换手术15例。结果：所有病例均获随访，时间8～30个月，平均16．5个月。根MichaelReese医疗中心评分标准，内固定术或肱骨头置换术后肩关节功能评分，优良率分别为87％和75％。结论：对肱骨近端粉碎性骨折采用手术治疗可取得较为满意的效果，对不同情况的患者可采用个体化的治疗方案。Objective： To study the effect of surgical treatment of comminuted fractures of proximal humerus. Methods： From November 2004 to December 2007, 80 cases of proximal humeral comminuted fractures were treated in our department, 65 of them were treated with internal fixation（28 with proximal humeral anatomic plates, 22 with proximal hunerus locking plates, 15 with cloverleaf plates）, and 15 of them were treated with humeral head replacement. Results： All the patients were followed up for 8 to 30 months. According to Michael Reese score system, the excellent and good rate was 87% in internal fixation group, and 75% in artificial joint group respec- tively. Conclusion： Surgical treatment is a satisfactory and effective technique for patient with comminuted frac- tures of proximal humerus, a proper method should be determined on the basis of patient＇s physical conditions and the type of fracture.

关 键 词：肱骨近端骨折 内固定术 人工关节置换术 

分 类 号：R683.41[医药卫生—骨科学]