髓内植骨联合长型 PHILOS 肱骨近端锁定接骨板内固定治疗肱骨近端合并肱骨干骨折  

Long PHILOS combined with bone graft in cavitas in therapy of the proximal humerus combined with humeral shaft fracture

作　　者：陈波[1] 梁杰[1] 

机构地区：[1]湖北省宜昌市第一人民医院骨科,443000

出　　处：《中国实用医刊》2017年第2期55-57,共3页Chinese Journal of Practical Medicine

摘　　要：目的：探讨髓内植骨联合长型 PHILOS 肱骨近端锁定接骨板内固定治疗肱骨近端合并肱骨干骨折的临床效果。方法2010年5月至2014年12月对8例肱骨近端合并肱骨干骨折患者行髓内植骨联合长型 PHI-LOS 肱骨近端锁定接骨板内固定术，男7例，女1例，年龄45~68岁，平均55.1岁，采用 Constant-Murley 评定标准和 Neer 评分分析疗效。结果8例患者均得到随访，术后平均随访时间42个月（6~55个月），均在术后4个月内骨折骨性愈合，Neer 评分优2例，良4例，可2例，Constant-Murley 肩关节评分为46~82（58＆#177;20）分。结论髓内植骨联合锁定钢板内固定能够恢复肱骨近端和肱骨干的正常解剖关系，有助于骨折愈合和肩关节功能恢复，是肱骨近端合并肱骨干骨折的有效治疗方法。Objective To investigate the clinical effects of long PHILOS combined with bone graft in cavitas on the proximal humerus combined with humeral shaft fracture. Methods From May 2010 to December 2014,8 patients with proximal humerus complicated with humeral shaft fracture were treated by long PHILOS combined with bone graft in cavitas. There were 7 males and 1 female with an average age of 55. 1 years（range,45-68years）. Constant-Murley score and neer score system were used to evaluate the function of the shoulder after surgery. Results All patients were followed up,the follow-up time were 6 ~ 55 months in an average of 42 months. All fractures got bone union within 4 months af-ter surgery. According to Neer score for shoulder function,the results were excellent in 2 cases,good in 4 cases,fair in 2 cases. The Constant-Murley scores were 46-82（58 ＆#177; 20）. Conclusions Long PHILOS internal fixation combined with bone graft in cavitas can restore proximal humerus and normal anatomic relationship to humeral shaft,contribute to fracture healing and shoulder joint function recovery,which is an effective way for the proximal humeral with shaft fracture.

关 键 词：长型PHILOS 髓内植骨 内固定 肱骨近端合并肱骨干骨折 

分 类 号：R687.3[医药卫生—骨科学]