肩峰前外侧入路锁定钢板治疗肱骨近端骨折  

Treatment of Proximal Humeral Fracture with Locking Plate Through Anterolateral Acromial Approach

作　　者：陈红生[1] 邹永根[2] 

机构地区：[1]泸州医学院附属第一医院急诊科,四川泸州646000 [2]泸州医学院附属中医医院骨伤科

出　　处：《西南军医》2016年第1期19-22,共4页Journal of Military Surgeon in Southwest China

摘　　要：目的评价应用锁定钢板经肩峰前外侧入路治疗肱骨近端骨折的临床效果。方法对应用锁定钢板经肩峰前外侧入路治疗的22例肱骨近端骨折患者的临床资料进行回顾性分析。结果本组病例手术时间50～100min，平均80min；术中出血60～130ml，平均85ml。随访时间6～18个月，平均9．2个月。所有骨折均骨性愈合，愈合时间11～28周，平均15．9周。末次随访时采用Neer评分：优8例，良11例，一般3例，优良率86．4％。结论应用锁定钢板经肩峰前外侧入路治疗肱骨近端骨折，术中运用微创技术，具有创伤小、术中出血少、手术时间短、骨折愈合快、肩关节功能恢复好等优点。手术过程中须对腋神经加以保护。该术式可作为治疗肱骨近端Neer二、三部分骨折及大部分骨折的首选方法。Objective To investigate the clinical effect of the treatment of proximal humeral fracture with locking plate through anterolateral acromial approach. Methods A retrospective analysis was made to the clinical data of 22 cases with proximal humeral fracture treated with locking plate through anterolateral acromial approach. Results The operation time lasted from 50 minutes to 100 minutes with the average of 80 minutes; the bleeding volume in operation was from 60ml to 130ml with the average of 85ml; follow-up of mean 9.2 months ranged from 6 months to 18 months; all the fractures were bone-healed within 11 to 28 weeks with the average of 15.9 weeks; Neer Grading was applied in the last follow-up and the score of shoulder function was excellent in 8 cases, good in 11 cases and fair in 3 cases, the excellent and good rate reached 86.4%. Conclusions The treatment of proximal humeral fracture with locking plate through anterolateral acromial approach via minimally invasive technique is of such advantages as minor wound, less bleeding, shorter operation time, faster healing of fracture, better recovery of shoulder function while certain protection of the axillary nerve should be made in operation; this approach is the first choice for treating proximal humeral fracture.

关 键 词：肩峰前外侧入路 锁定钢板 肱骨近端骨折 

分 类 号：R681.7[医药卫生—骨科学]