新型通用锁定系统治疗复杂骨折的初期临床报告  

Zimmer general locking system for management of complex fractures

作　　者：李夏[1] 李凡[1] 王秋根[1] 朱宗昊[1] 

机构地区：[1]上海交通大学附属第一人民医院骨科,200080

出　　处：《中华创伤骨科杂志》2011年第3期234-237,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨新型通用锁定系统（GLS）钢板治疗复杂骨折的初期临床疗效。方法2010年1月至12月采用GKS钢板治疗10例复杂四肢及骨盆骨折患者，男7例，女3例；年龄23～52岁，平均35．2岁。其中尺桡骨远端陈旧性骨折骨不连1例，前臂骨干骨折3例（AO分型：22B2型1例，C2型2例），骨盆骨折4例（Tile分型：B2．2型2例，C2型2例），胫腓骨骨干骨折2例（AO分犁：42B2型1例，C1型1例）。对患者骨折愈合及并发症发生情况等进行回顾性分析。结果9例患者术后扶平均7个月（3～12个月）随访。全部伤口均一期愈合。X线片示所有患者均获骨性愈合或融合，愈合时间平均为14周（10～28周），术后无内固定松动、断裂，肌腱激惹、股神经和股外侧皮神经损伤及深静脉血栓形成等并发症发生。1例Tile分型为C2型的骨盆骨折患者残留臀部后方疼痛伴跛行，其余患者功能均恢复良好。4例前肾骨折患者DASH评分平均为18．2分（0～38．5分）；3例骨盆骨折患者采用Harris髋关节评分评定疗效：优2例，良1例；2例胫腓骨干骨折患行采用SF-36量表评定疗效：均为优。结论新型GLS钢板为复杂骨折的临床治疗提供了更多的个性化选择，尤其适用于骨干部多节段复杂骨折的治疗。Objective To observe clinical efficacy of the Zimmer general locking system （GLS） in management of complex fractures. Methods From January to December 2010, 10 fracture patients were managed with GLS. They were 7 men and 3 women, with an average age of 35.2 years （from 23 to 52 years） . There were one case of fracture nonunion of distal radius and ulnas, 3 cases of shaft fractures of forearm （hy AO classification： one 22B2 and 2 C2）, 2 eases of tibial and fibular shaft fracture （by AO classification： one 42B2 and one C1 ）, and 4 cases of pelvic fracture（by Tile classification： 2 B2.2 and 2 C2）. Fracture healings and complications were analyzed retrospectively. Results Nine patients were followed up for an average of 7 months （from 3 to 12 months）. Radiographic bone union was achieved in all cases for an average of 14 weeks （from 10 to 28 weeks） without infection, implant hmsening, tendon irritation, injury to the lateral femoral cutaneous nerve or the femoral nerve, or deep vein thrombosis. All patients obtained normal functions except one Tile C2 case who experienced residual pain and claudication. The 4 cases of forearm fracture obtained an average DASH （Disabilities of the Arm, Shoulder and Hand） score of 18.2 points （from 0 to 38.5 points）. By HSS （Harris Hip Score） system, the 3 cases of pelvic fractures were rated as excellent （in 2） and good （in one）. By the SF-36 scale system, the 2 cases of tibial and fibular shaft fracture were buth excellent. Conclusion GLS offers a uew optiou for complex fractures, especially multi-segmental shaft ones.

关 键 词：骨折 骨折固定术 内 骨板 

分 类 号：R686[医药卫生—骨科学]