肱骨近端锁定板治疗儿童股骨粗隆下骨折  

Locking proximal humerus plate for treatment of children subtrochanteric fracture

作　　者：舒荣兵[1] 吕仁发[1] 陈小芳[1] 周江军[1] 吴刚[1] 刘加钱[1] 

机构地区：[1]解放军第184医院骨科,江西鹰潭335000

出　　处：《中国骨与关节损伤杂志》2014年第11期1125-1126,共2页Chinese Journal of Bone and Joint Injury

基　　金：南京军区医学科技创新课题面上A类(10MA058)

摘　　要：目的观察肱骨近端锁定板治疗儿童股骨粗隆下骨折的效果。方法回顾性分析自2008-01—2013—01应用肱骨近端锁定板内固定治疗儿童股骨粗隆下骨折15例，按Seinsheimer分型，Ⅰ型2例，Ⅱ型10例，Ⅲ型2例，Ⅳ型1例。结果所有患者获5～24个月的随访，骨折于术后2—3个月获临床愈合，术后5～10个月骨性愈合后行内固定取出，术后3例出现过度生长，增长0．4—1．2cm（平均0．8cm）。未出现髋内翻，钢板断裂、关节僵硬，肢体短缩等并发症。末次随访时髋关节功能按Sanders标准：优13例，良1例，可1例。结论采用肱骨近端锁定板内固定治疗儿童股骨粗隆下骨折是一种操作简单、固定牢固、愈合率高和并发症少的治疗方法。Objective To evaluate the feasibility of locking proximal humerus plate for children subtrochanteric fracture. Methods Fifteen patients with subtrochanteric fractures had underwent locking proximal humerus plate from January 2008 to January 2013 were retrospectively analyzed. According to the Seinsheimer classification, there＇re 2 cases of type Ⅰ, 10 cases of type Ⅱ, 2 cases of typeⅢ, 1 case of type Ⅳ. Results The patients were followed up for 5-24 months. All their fractures were healed 2-3 months postoperatively, and their internal fixator were removed 5-10 months postoperatively. Overgrowth was observed in 3 cases by 0.4-1.2 cm （0.8 cm on average）.There were no coxavara, plate fracture, limb shortening and ankylosis in all unions of fractures. According to Sanders＇s standard, 13 cases were graded as excellent, 1 as good, 1 as fair. Conclusion Locking proximal humerus plate for children subtrochanteric fracture has the advantages of simple operation, rigid fixation, higher healing rate and fewer complications.

关 键 词：股骨粗隆下骨折 肱骨近端锁定板 儿童 

分 类 号：R683.42[医药卫生—骨科学]