MultiLoc髓内钉技术在肱骨近端骨折中的应用  

Application of MultiLoc intramedullary nail technique in the treatment of proximal humeral fracture

作　　者：陈维[1] 邢飞[1] 段鑫[1] 刘明[1] 陈家磊[1] 项舟[1] CHEN Wei;XING Fei;DUAN Xin;LIU Ming;CHEN Jialei;XIANG Zhou(Department of Orthopedics,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《华西医学》2020年第12期1535-1539,共5页West China Medical Journal

基　　金：国家自然科学基金(31870961);中德科学基金(GZ1219)。

摘　　要：由于肱骨近端骨折的复杂性,肱骨近端骨折的治疗一直是临床医生需要面对的一个挑战。MultiLoc髓内钉是近几年来开始逐渐应用于肱骨近端骨折治疗的一种新型内固定装置,目前主要被应用于Neer分型的二、三部分骨折,特别是外科颈骨折。其灵活的设计可为骨折患者提供个性化、多平面的固定方式,"钉中钉"及内侧支撑螺钉能有效减少肱骨头的轴向移位及内翻成角,术中微创的手术切口可减少对肩袖的损伤。该综述重点阐述了MultiLoc髓内钉的设计、手术操作、患者预后以及术后并发症等方面的研究现状及相关证据,旨在为MultiLoc髓内钉在骨折治疗中的应用提供理论依据,并进一步增强临床工作者对MultiLoc髓内钉这一新型内固定装置的认识。Because of the complexity of proximal humeral fractures,the treatment of proximal humeral fractures has always been a challenge for clinicians.The MultiLoc intramedullary nail is a new type of internal fixation device which has been gradually used in the treatment of proximal humeral fractures in recent years.At present,it is mainly used in the Neer two-and three-part fractures,especially surgical neck fractures.Its flexible design can provide personalized and multi-plane fixation for fracture patients,"screw-in-screw"and medial supporting screw can effectively reduce the axial displacement and varus angle of humeral head,and minimally invasive surgical incision can reduce the injury of rotator cuff.This review focuses on the research status and related evidence of the design,operation,prognosis,and postoperative complications of MultiLoc intramedullary nail,in order to provide a theoretical basis for the application of MultiLoc intramedullary nail in fracture treatment,and enhance clinicians’understanding of MultiLoc intramedullary nail as a new type of internal fixation device.

关 键 词：肱骨近端骨折 MultiLoc 髓内钉 内固定 老年骨折 

分 类 号：R687.3[医药卫生—骨科学]