可吸收螺钉加可吸收线张力带与锁定钢板在骨折中的应用  

Application of absorbable screw plus absorbable suture tension band and locking plate in bone fracture

作　　者：郑煦光[1] 李力更[2] 梁俊生[3] 张立峰[1] 安志刚[2] 

机构地区：[1]唐山市第二医院急诊科,河北省唐山市063000 [2]唐山市第二医院创伤骨科,河北省唐山市063000 [3]唐山市第二医院老年骨科,河北省唐山市063000

出　　处：《中国组织工程研究》2012年第48期8968-8975,共8页Chinese Journal of Tissue Engineering Research

摘　　要：背景:目前针对老年肱骨大结节骨折固定治疗多采用锁定钢板内固定或张力带内固定等方法治疗。目的:观察可吸收螺钉加可吸收线张力带内固定治疗老年肱骨大结节骨折的临床效果。方法:将66例老年肱骨大结节骨折的患者随机分为治疗组34例及对照组32例。治疗组采用可吸收螺钉加可吸收线张力带内固定治疗,对照组采用锁定钢板内固定进行治疗。结果与结论:全部病例均获随访,时间为半年至4年。治疗组患者肩关节功能评分为优的比例明显高于对照组(P<0.05)。所有患者骨折均获得骨性愈合,无畸形愈合,治疗期间无死亡的病例发生,其中治疗组在固定时出血量,骨折愈合时间,住院时间及住院费用明显优于对照组(P<0.05)。结果证实,可吸收螺钉加可吸收线张力带内固定治疗老年肱骨大结节骨折临床疗效较好。BACKGROUND：At present,the treatment of elderly humeral greater tuberosity fracture mainly depends on locking plate internal fixation or tension band internal fixation.OBJECTIVE：To study the clinical effects of absorbable screw plus absorbable suture tension band internal fixation on the treatment of elderly humeral greater tuberosity fracture.METHODS：Sixty-six patients with elderly humeral greater tuberosity fracture were divided into two groups：treatment group（n=34） and control group（n=32）.The patients in the treatment group were treated with absorbable screws plus absorbable suture tension band internal fixation,the patients in the control group using locking plate internal fixation.RESULTS AND CONCLUSION：All cases were followed-up for 6 months to 4 years.Shoulder function scores of the patients of the treatment group had the excellent proportion and were significantly higher than that of the control group（P 0.05）.The fracture of all patients was healed,no malunion,no death cases occurred during the treatment.The blood loss,fracture healing time,time of hospitalization,and hospital costs of the treatment group were significantly lower than those of the control group（P 0.05）.The results suggest that absorbable screws plus absorbable suture tension band internal fixation for the treatment of elderly humeral greater tuberosity fracture has good clinical effects.

关 键 词：肱骨大结节 骨折 肩关节脱位 老年 可吸收螺钉 可吸收线张力带 锁定钢板 骨性愈合 组织工程 

分 类 号：R318[医药卫生—生物医学工程]