经皮接骨板技术结合锁定钢板治疗肱骨干节段性骨折的疗效观察  

Curative effect of invasive percutaneous plate osteosynthesis technique combined with locking plate for segmental fractures of the humeral shaft

作　　者：张率功[1] 林峰[1] 刘玉平[1] 张峰[1] 沈冰[1] 李玮[1] 

机构地区：[1]济宁医学院附属滕州市中心人民医院骨科,277500

出　　处：《中华全科医师杂志》2017年第3期230-233,共4页Chinese Journal of General Practitioners

摘　　要：对2012年6月-2015年11月应用经皮接骨板（IPPO）技术结合锁定钢板治疗肱骨节段性骨折的11例患者临床资料进行回顾性分析。术后随访6～18个月，平均11个月。无腋神经损伤、伤口感染、桡神经麻痹、内固定松动、断裂，无骨折延迟愈合、不愈合及肱骨头缺血坏死等发生。所有骨折均获得临床愈合，末次随访时Constant—Murley肩关节功能评分（86．5±2．2）分；Neer肩关节功能评分优7例、良3例、可1例，患者肩关节功能恢复较好。提示IPPO技术结合锁定钢板治疗肱骨节段性骨折创伤小、能早期功能锻炼，有利于术后功能恢复。Eleven patients with segmental fractures of the humeral shaft were treated with invasive percutaneous plate osteosynthesis （IPPO） technique combined with locking plate from June 2012 to November 2015. The patients were followed up for 6 - 18 months with an average of 11 months. All fractures were healed. There were no axillary nerve injury, wound infection, radial nerve palsy, internal fixation loosening, delayed union, nonunion and humeral head necrosis among all patients. The Constant-Murley function score was 86. 5 -＋ 2. 2 at the last follow-up. The Neer shoulder function scores were excellent in 7 cases, good in 3 cases and fair in 1 case. The patients obtained good shoulder function. The results suggest that IPPO technique combined with locking plate to treat segmental fractures of the humeral shaft has the advantages of less trauma, early functional exercise and early functional recovery.

关 键 词：肱骨骨折 骨折固定术 内 骨板 

分 类 号：R687.3[医药卫生—骨科学]