锁定钢板治疗肱骨近端四部分骨折的疗效分析  

The treatment of 4 parts fracture of the proximal humerus with the locking compression plate

作　　者：刘建国[1] 黄飞[1] 崔豫宝[1] 黄华溢[1] 

机构地区：[1]湖北航天医院,孝感432000

出　　处：《中国现代医药杂志》2010年第11期75-77,共3页Modern Medicine Journal of China

摘　　要：目的探讨应用锁定加压钢板(locking compression plate,LCP)治疗肱骨近端四部分骨折的疗效。方法 2007年8月～2009年3月,我院共应用锁定加压接骨板治疗肱骨近端四部分骨折12例,均为NeerⅣ型骨折。手术采用三角肌、胸大肌间隙入路。复位后骨折断端如果有骨质缺损,则进行自体或异体骨植入,填补骨缺损。术后1周开始肩关节上举活动,防止肩关节僵硬。结果所有患者术后随访时间9～16月,平均12.5月。所有患者均获骨性愈合,根据Neer功能评价标准,优9例、良2例、一般1例,优良率为91.7%。结论锁定钢板可以充分固定肱骨近端四部分骨折各个骨折块,效果满意,可作为NeerⅣ型骨折的标准治疗方式。Objective To discuss the treatment effect of locking compression plate（LCP） for 4 parts fracture of the proximal humerus.Methods A retrospective study was done on 12 cases of 4 parts fracture of the proximal humerus treated with LCP from Aug 2007 to Mar 2009 in our hospital.All cases were Neer type Ⅳ fracture.Operation was done through the deltopectoral-gap approach.If there were bong defect in the fracture site after reduction,allografts should be inserted.Exercise was done after one week of operation to prevent shoulder anchylosis.Results 12 cases were followed up 9 to 16 months（12.5 months in average）.All cases with fractures healed.According to the Neer evaluation,the result was excellent in 9 cases,good in 2 and fair in 1,the rate of excellence and goodness was 91.7%.Conclusion The LCP can firmly fixate each fragment of 4 parts fracture of the proximal humerus.It＇s effective and could be considered as the standard-therapy for the comminuted proximal humerus.

关 键 词：近端肱骨 骨折 锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]