微创经三角肌入路锁定钢板治疗肱骨近端3部分骨折的疗效观察  

Curative effect observation of minimally invasive deltoid approach locking plate for the treatment of three proximal humeral fractures

作　　者：滕建锋 杨五一 胡建斌 Teng Jianfeng;Yang Wuyi;Hu Jianbin(Department of Orthopaedics,Central Hospital of Enshi City,Hubei Province 445000)

机构地区：[1]湖北省恩施市中心医院骨科,445000

出　　处：《中国社区医师》2018年第22期54-55,共2页Chinese Community Doctors

摘　　要：目的:探讨微创前入路治疗肱骨近端3部分骨折的手术方法和疗效。方法:收治肱骨近端3部分骨折患者40例,采用微创经三角肌入路锁定钢板治疗,随访10～18个月。结果:该术式手术时间短、出血量少,切口全甲级愈合,均达到骨性愈合,肩肘关节功能评分优,无肱骨头坏死及腋神经损伤。结论:微创经三角肌入路联合锁定钢板治疗肱骨近端骨折,手术入路安全、无腋神经损伤、手术创伤小、切口感染风险极低、骨折愈合率高、无肩肘关节功能障碍。Objective:To explore the operative method and effect of minimally invasive anterior approach in the treatment of three parts of the proximal humerus fracture.Methods:40 patients with three proximal humeral fractures were selected,they were treated with minimally invasive deltoid locking plate,and followed up for 10~18 months.Results:The operation time was short,the blood volume was less,the incision was healed in the first order,all of them reached bone union,the function of shoulder and elbow joint was excellent,no necrosis of humerus and injury of axillary nerve were found.Conclusion:The minimally invasive treatment of the proximal humerus fracture with the deltoid approach combined with locking plate has the safety of surgical approach,no axillary nerve injury,small surgical trauma,very low risk of incision infection,high fracture healing rate and no dysfunction of shoulder and elbow joint.

关 键 词：微创经三角肌入路 肱骨近端3部分骨折 锁定接骨板 腋神经损伤 

分 类 号：R687.3[医药卫生—骨科学]