经皮微创钢板固定治疗肱骨干骨折旋转畸形的发生  

The rotation deformity in humeral shaft fracture treated with minimally invasive plate osteosynthesis

作　　者：李莹[1] 王呈[1] 黄强[1] 王满宜[1] 

机构地区：[1]北京积水潭医院,北京100035

出　　处：《山东医药》2010年第44期5-6,19,共3页Shandong Medical Journal

摘　　要：目的总结闭合复位经皮微创钢板固定(MIPO)治疗单侧肱骨干骨折后肱骨旋转畸形的发生情况。方法对24例单侧肱骨干骨折患者采用MIPO方法进行治疗,术后以CT测量患者双侧肱骨头的后倾角,以健侧后倾角作为参考,计算患肢术后肱骨干旋转的角度。结果术后有16例肱骨远端发生外旋,旋转角度14.8°±11.5°;8例远端发生内旋,旋转角度21.9°±15.8°。24例患者总体旋转畸形17.2°±13.2°,9例旋转畸形超过20°,其中4例超过30°。结论闭合复位MIPO技术治疗肱骨干骨折术中要注意肱骨干旋转畸形的发生,闭合复位MIPO方法平均有17.2°旋转畸形发生。Objective To summarize the rotation deformity of the humeral shaft in the treatment of humeral shaft fracture by method of minimally invasive plate osteosynthesis（MIPO）.Methods A total of 24 humeral shaft fracture patients were treated with MIPO technique.After the operation,the retroversion angles in both humeral were measured with CT scan to calculate the rotation malreduction.Results External rotation occurred in 16 patients with the retroversion angles of 14.8°±11.5°.Internal rotation occurred in 8 patients with the retroversion angles of 21.9°±15.8°.The population mesn was 17.2°±13.2°,among them 9 patients over 20° and 4 patients over 30°.Conclusion It should be paid more attention on the rotation deformity of humeral shaft when MIPO technique was performed during the operation of humeral shaft fracture.The average malrotation was 17.2°.

关 键 词：肱骨骨折 经皮微创内固定 旋转畸形 

分 类 号：R683.41[医药卫生—骨科学]