有限内固定治疗肱骨干投掷骨折  

Treatment of Throwing Fracture of the Humeral Shaft with Minimall y Invasive Internal Fixation

作　　者：苏琦[1] 周敏[1] 蔡树鸿 廖春来[1] 梁伟炯[1] 

机构地区：[1]广东省潮州市解放军第188医院创伤骨科,广东潮州521000

出　　处：《实用骨科杂志》2013年第6期518-520,共3页Journal of Practical Orthopaedics

摘　　要：目的评估微创内固定治疗肱骨干投掷骨折的临床疗效。方法 2006年2月至2012年7月,收治76例肱骨干投掷骨折患者,均为男性。年龄17～27岁,平均20.1岁。右侧70例,左侧6例(左利手)。采用小切口微创复位、螺钉结合钢丝捆扎内固定治疗。方法 69例患者均获得6～23个月随访,平均11个月,骨折均获骨性愈合。根据Cassebaum肩肘关节功能评分法进行综合评分,优66例,良3例,优良率100%。结论微创、螺钉结合钢丝捆扎内固定治疗肱骨干投掷骨折,操作简单、创伤小、治疗费用低、功能恢复满意。Objective To evaluate the clinical e{fect of throwing fracture of the humeral shaft treated with mini- mally invasive internal fixation. Methods From February 2006 to July 2012,76 cases of throwing fracture of the humeral shaft were treated with limited open reduction and minimally invasive internal fixation with screws and wire. All cases were males,with mean age of 20.1 years （17-27 years）,involving 70 right arms and 6 left arms. Results 69 patients were followed up from 6 to 23 months ,with an average time of 11 months. Bone union was achieved in all cases. According to Cassebaum functional grading system,the excellent ,good cases were 66 and 3,the excellent and good rate was 100~/00. Conclusion Limited open reduction and minimally invasive internal fixation with screws and wire is an effective method to treat throwing fracture of the humeral shaft. It has the advantage of simplicity of opra- tion,small wound,low cost and satisfactory functional recovery.

关 键 词：肱骨骨折 投掷骨折 内固定 微创治疗 

分 类 号：R683.41[医药卫生—骨科学]