采用PHILOS钢板治疗肱骨近端复杂骨折  

PHILOS plate system for the treatment of complicated fractures of the proximal humerus

作　　者：陆雄伟[1] 戴力扬[2] 金晨[1] 朱彤[1] 丁勇[1] 胡小鹏[1] 

机构地区：[1]上海交通大学医学院附属第三人民医院骨科,上海201900 [2]上海交通大学医学院附属新华医院骨科,上海200092

出　　处：《创伤外科杂志》2009年第6期497-500,共4页Journal of Traumatic Surgery

摘　　要：目的评价采用PH ILOS钢板治疗肱骨近端复杂骨折的临床结果。方法2006年1月-2008年6月,我们共收治肱骨近端复杂骨折（Neer分型3部分或4部分）32例,均采用切开复位PH ILOS钢板内固定方法,男性18例,女性14例,单纯跌倒17例,道路交通伤11例,高处跌落4例;平均年龄为53.8岁（25-72岁）,手术时间平均为伤后42小时（18-96小时）。采用肩关节Constant功能评分及肩关节X线片来评价治疗结果。结果平均随访13.6个月（9-33个月）,最后随访时肩关节的Constant评分平均为78.6分（46-96分）。所有骨折均愈合,平均愈合时间为10周（8-17周）。1例肱骨头轻度变形但无临床症状。结论PH ILOS钢板对肱骨近端复杂骨折提供了更为可靠的固定方法,使早期功能锻炼成为可能,从而保证了肩关节功能的恢复。Objective To evaluate the clinical results of the treatment of three and four-parts fractures of the proximal humerus using the proximal humeral internal locking system （ PHILOS ）. Methods Between Jan. 2006 and Jun. 2008, there were 32 patients with displaced three-or four-parts proximal fractures of the humerus treated by using PHILOS plate, 18 males, 14 females. The mean age was 53.8 years （ 25 to 72 ）. The data were noted prospectively and the outcomes were assessed using the Constant score and routine x-ray of shoulder. Results The mean follow-up was 13.6 months （ 9 to 33 ）. The mean Constant score was 78.6 points postoperatively. All fractures were united clinically and radiologically at a mean of 10 weeks （ 8 to 17 ）. Conclusion PHILOS plate provides a stable fixation for the three and four-parts fractures of the proximal humerus, and permits early mobilization. The satisfaetory results can be achieved.

关 键 词：肱骨骨折 肩关节 内固定 

分 类 号：R681.7[医药卫生—骨科学]