MIPPO技术结合锁定加压钢板治疗肱骨干骨折的临床疗效分析  

Clinical efficacy of minimally invasive percutaneous plate osteosynthesis combined locking compression plate treatment for humeral shaft fractures

作　　者：李朋[1] 杜传林[1] 杨广友[1] 宋群山 刘光明[1] 

机构地区：[1]江苏省连云港市赣榆区人民医院骨科,江苏连云港222100

出　　处：《解放军医学杂志》2016年第12期1037-1040,共4页Medical Journal of Chinese People's Liberation Army

摘　　要：目的探讨微创经皮钢板内固定（MIPPO）结合锁定加压钢板（LCP）治疗肱骨干骨折的临床疗效。方法回颐性分析2012年1月-2015年12月采用前侧入路MIPPO技术内固定治疗的ls例闭合性肱骨干骨折患者的临床资料。其中男9例，女6例，年龄23～65岁，平均42岁；肱骨中上段骨折4例，中段骨折8例，中下段骨折3例；骨折按AO／ASIF分型A型5例，B型7例，C型3例。术后观察患者的桡神经功能、骨折愈合时间及肩肘关节功能恢复情况。结果本组手术时间为65．110min，平均80min。术后切口均一期愈合，无医源性桡神经损伤。15例均获随访，随访时间5-22个月，平均13个月，骨折愈合时间10～15周，平均12．5周。末次随访时肩关节UCLA评分优14例、良1例，肘关节功能Mayo评分优13例、良2例。结论前入路MIPPO结合LCP治疗肱骨干骨折简单、安全，是一种较好的手术方法。Objective To explore the clinical efficacy of minimally invasive percutaneous plate osteosynthesis （MIPPO） combined locking compression plate treatment for humeral shaft fractures. Methods The clinical data of 15 patients suffering humeral shaft fractures and receiving MIPPO combined locking compression plate treatment hospitalized from Jan 2012 to Dec 2015 were retrospectively analyzed. The 15 patients included 9 males and 6 females, aged from 23 to 65 years with an average of 42; The fracture was proximal in 4, middle in 8, and distal in 3 patients; There were 5 type A, 7 type B and 3 type C fracture patients according to AO/ASIF classification. The radial nerve function, fracture healing time, and the shoulder and elbow joint function were observed in all the patients. Results The operation time of 15 patients was 65-110min with an average of 80min. Surgical incision of all patients healed well, and no iatrogenic radial nerve injury was found. All patients were followed-up for 5-22 months, with a mean of 13 months. The fracture healing time was 10-15 weeks, with a mean of 12.5 weeks. The clinical outcome was 14 excellent and 1 of good according to UCLA score, and 13 excellent and 2 good according to Mayo score at the Iast follow-up. Conclusion MIPPO combined locking compression plate is a safe and simple method for humeral shaft fractures.

关 键 词：微创经皮钢板内固定 肱骨骨折 前侧入路 锁定加压钢板 

分 类 号：R683.413[医药卫生—骨科学]