内侧柱支撑在肱骨近端骨折治疗中的应用  

Application of medial column support in the treatment of proximal humeral fractures

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》2021年第10期1424-1428,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：切开复位钢板螺钉内固定是老年肱骨近端骨折治疗中应用最为广泛的一类手术方式。近年来,越来越多的研究显示术中加强肱骨近端内侧柱支撑十分重要。目前,骨科医生在应用切开复位钢板螺钉内固定术治疗肱骨近端骨折时,常采用植骨、骨水泥、内侧支撑螺钉和内侧支撑钢板等多种方式加强肱骨近端内侧柱的支撑。因此,该文就加强肱骨近端骨折内侧柱支撑的方法及其在维持骨折复位、降低术后并发症和改善术后肩关节功能活动等方面的作用作一综述,旨在为肱骨近端骨折治疗中根据骨折情况个性化选择内侧支撑方式提供一定参考。Open reduction and internal fixation with plate and screw is one of the most widely used surgical methods in the treatment of proximal humeral fractures in the elderly.In recent years,more and more studies have shown that it is very important to strengthen the medial column support of the proximal humerus during the surgery.At present,orthopedists often use bone graft,bone cement,medial support screw and medial support plate to strengthen the support of the medial column of the proximal humerus when applying open reduction and internal fixation with plate and screw to treat proximal humeral fractures.Therefore,the methods of strengthening medial column support for proximal humerus fractures and their effects on maintaining fracture reduction,reducing postoperative complications and improving functional activities of shoulder joints after operation are reviewed in this paper.It aims to provide a certain reference for the individualized selection of medial support methods according to the fracture situation in the treatment of proximal humeral fractures.

关 键 词：肱骨近端骨折 钢板螺钉内固定 植骨 骨水泥 支撑螺钉 

分 类 号：R687.3[医药卫生—骨科学]