闭合复位经皮锁定加压钢板内固定治疗尺骨骨折  

Closed reduction and percutaneous fixation with locking compression plate （LCP） to treat ulnar fracture

作　　者：明立功[1] 明立德[1] 明立山[1] 明朝戈[1] 王自方[1] 乔玉[1] 马彦飞[1] 王明利[1] 

机构地区：[1]河南省滑县骨科医院手、显微外科,河南安阳456485

出　　处：《实用手外科杂志》2014年第4期391-393,共3页Journal of Practical Hand Surgery

摘　　要：目的：探讨闭合复位经皮锁定加压钢板（locking compression plate， LCP）内固定治疗尺骨骨折方法及疗效。方法2008年5月—2011年6月，使用LCP经尺骨尺背侧入路微创技术治疗尺骨干骨折27例。结果术后经13～32个月（平均16个月）随访，27例骨折全部愈合，骨折愈合时间9--15周（平均12周），无一例感染及内固定失效（断裂、松动、弯曲）发生，无神经损伤的发生。根据Anderson等前臂骨折功能评价标准评定：优17例，良10例。最终随访术后肘关节伸屈活动功能丧失0°～18°，平均5°；前臂旋前功能丧失0°～29°，平均15°；前臂旋后功能丧失0°～32°，平均16°。结论 LCP经尺骨尺背侧入路微创技术治疗尺骨干骨折可以提供稳定的固定，骨折愈合率高，神经血管结构相对安全，更适合于粉碎性或伴有骨质疏松的骨折。Objective To investigate the method and effect of closed reduction and percutaneous fixation with LCP to treat ulnar fracture. Methods From May 2008 to June 2011, 27 cases with LCP and the minimally invasive technique through ulnar dorsal ulnar approach to treat ulnar fracture. Results After 13～32 months＆#39; follow-up （average 16 months） 27cases all realed, the fracture union time arranged from 9 to 15 weeks （average 12 weeks）, without any infection or fixation failure or nerve injury. According to Anderson standard： 17 cases were excellent, 10 cases were good. The function of elbow flexion and extenion lose 0°～18° , average 15° , pronation function of forearm lose 0°～29° , average 15° , forearm supination function losed 0°～32° , average 16° . Conclusion LCP and the minimally invasive technique through ulnar dorsal ulnar approach can provide stable fixation fracture union rate is high and has safe blood vessel and nerve constructure is more applicable to comminuted fracture with osteoporosis.

关 键 词：尺骨干 骨折 锁定加压钢板 微创经皮固定术 

分 类 号：R683.41[医药卫生—骨科学]