经前侧入路微创接骨板内固定治疗肱骨中段骨折  

Minimally-invasive plating osteosynthesis via the anterior humeral approach in treatment of the humeral middle fractures

作　　者：张智[1] 吴晓满[1] 陆俊峰[1] 黄爱文[1] 刘道宏[1] 赵东升[1] 

机构地区：[1]解放军第309医院骨科,北京100091

出　　处：《临床骨科杂志》2017年第3期355-357,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨应用经前侧入路微创接骨板内固定(MIPO)技术治疗肱骨中段骨折的临床疗效。方法应用经前侧入路MIPO技术治疗22例单侧肱骨中段骨折患者。术后观察肩关节及肘关节活动范围,采用Constant-Murley评分评定肩关节功能,Mayo评分评定肘关节功能。结果患者均获得随访,时间10~24个月。末次随访:肩关节外展80°~120°,前屈120°~170°,外旋10°~50°,内旋T8~L3水平。肘关节屈曲100°~135°,伸直0°~20°;Constant-Murley肩关节评分78~96分;Mayo肘关节评分74~100分。结论经前侧入路MIPO技术治疗肱骨中段骨折是一种有效安全的方法。Objective To explore the clinical effects of the treatment of humeral middle fractures by using minimally-invasive plating osteosynthesis（MIPO） techniques via the anterior humeral approach.Methods The 22 patients with humeral middle fractures were treated with MIPO via the modified anterior humeral approach.Postoperation,shoulder and elbow range of motion,Constant-Murley and Mayo scores were evaluated.Results All patients were followed-up from 10~24 months.Range of motion parameters were as final follows：active shoulder abduction range was 80°~120° and forward flexion range 120°~170°,shoulder external rotation range 10°~50° and shoulder internal rotation to range T8~L3.Elbow motion was flexion range 100°~135°,extension range 0°~20°.At the last follow-up,the Constant-Murley score was 78~96 points and the Mayo score was 74~100 points.Conclusions Sub-muscular anterior plating of the humerus by using locking screw technique is a viable and useful method for diaphyseal humeral middle fractures.

关 键 词：肱骨骨折 微创 骨折固定术 内 前侧入路 

分 类 号：R683.41[医药卫生—骨科学] R687.32[医药卫生—外科学]