肱骨近端锁定钢板置入结合Osteoset人工骨治疗肱骨近端骨折随访:22例  

Locking compression plate combined with Osteoset bone graft substitute in the treatment of proximal humeral fracture:A follow-up of 22 cases

作　　者：王国栋[1] 袁同洲[1] 许诺[1] 何斌[1] 范磊[1] 黄野[1] 王云华[1] 

机构地区：[1]南京医科大学第二附属医院骨科,江苏省南京市210011

出　　处：《中国组织工程研究与临床康复》2011年第43期8151-8154,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:螺钉、克氏针张力带钢丝、髓内钉、三叶草钢板等置入内固定肱骨近端骨折的疗效欠佳,常出现螺钉固定不牢或松动等现象,影响肱骨头血运与肩关节外展功能。目的:观察肱骨近端锁定钢板置入内固定结合Osteoset人工骨植入治疗肱骨近端骨折的临床效果。方法:应用肱骨近端锁定钢板置入内固定结合Osteoset人工骨植入治疗22例肱骨近端骨折病例。结果与结论:所有病例随访12～24个月均骨性愈合,根据Neer疗效评分标准,优13例,良7例,可2例,差0例,优良率为91%;治疗后X射线显示所有肱骨近端骨折及肩关节脱位均获得了满意复位。说明肱骨近端锁定钢板置入内固定结合Osteoset人工骨植入治疗肱骨近端骨折疗效肯定。BACKGROUND：Screw,Kirschner＇s tension-band wire,intramedullary nail and clover plate are ineffective in the treatment of proximal humeral fractures and often lead to loosening,rotator cuff injury,blood supply destruction to affect humeral head blood supply and shoulder abduction.OBJECTIVE：To observe the curative effect of locking compression plate combined with Osteoset bone graft substitute in the treatment of proximal humeral fracture.METHODS：Twenty-two cases of proximal humeral fracture were treated with locking compression plate combined with Osteoset bone graft substitute and the curative effect was evaluated.RESULTS AND CONCLUSION：All cases were followed up for 12-24 months.According to Neer evaluation system,13 cases were excellent,7 cases were good,2 cases were fine,0 case was poor,and the fineness rate was 91%.After treatment,X-ray showed that proximal humeral fracture and shoulder dislocation received a satisfactory reduction.It is indicated that the curative effect of locking compression plate combined with Osteoset bone graft substitute in the treatment of proximal humeral fracture is affirmative.

关 键 词：肱骨近端骨折 锁定钢板 Osteoset人工骨 移植替代材料 骨科植入物 

分 类 号：R318[医药卫生—生物医学工程]