多根克氏针撬拔复位联合肱骨近端锁定钢板治疗肱骨外科颈骨折的临床疗效及对肩关节功能的影响  

Clinical Efficacy of Multiple Kirschner Wire Prying Reduction Combined with Proximal Humeral Locking Plate in the Treatment of Fracture of Surgical Neck of Humerus and its Effect on Shoulder Joint Function

作　　者：顾振华 陈志毅[1] 张旺 陈和民[1] 胡中华[1] GU Zhen-hua;CHEN Zhi-yi;ZHANG Wang;CHEN He-min;HU Zhong-hua(Department of Orthopaedics,Lianhua People's Hospital,Lianhua 337100,Jiangxi,China)

机构地区：[1]莲花县人民医院骨科,江西莲花337100

出　　处：《医学信息》2023年第8期94-97,共4页Journal of Medical Information

基　　金：萍乡市科技计划项目(编号:2020PY171)。

摘　　要：目的研究多根克氏针撬拔复位联合肱骨近端锁定钢板治疗肱骨外科颈骨折的临床疗效及对肩关节功能的影响。方法选取2017年3月-2021年6月我院治疗的80例肱骨外科颈骨折患者为研究对象,采用随机数字表法分为对照组(40例)和观察组(40例),对照组采用直视复位联合肱骨近端锁定钢板固定治疗,观察组采用多根克氏针撬拔复位联合肱骨近端锁定钢板治疗,比较两组临床手术指标、Constant-Murley评分、肩关节活动度及并发症发生率。结果观察组手术时间长于对照组、骨折愈合时间及住院时间短于对照组、切口长度长于对照组、术中出血量少于对照组(P<0.05);两组术后6个月Constant-Murley各维度评分均高于术前,且观察高于对照组(P<0.05);两组术后6个月肩关节外旋、前屈上举及外展活动度大于术前,且观察组大于对照组(P<0.05);观察组并发症发生率与对照组比较,差异无统计学意义(P>0.05)。结论多根克氏针撬拔复位联合肱骨近端锁定钢板治疗肱骨外科颈骨折效果确切,可改善临床手术指标,减少手术创伤,提高肩关节功能和活动度,且手术安全性较高,值得临床应用。Objective To study the clinical efficacy of multiple Kirschner wire prying reduction combined with proximal humerus locking plate in the treatment of fracture of surgical neck of humerus and its effect on shoulder joint function.Methods A total of 80 patients with fracture of surgical neck of humerus treated in our hospital from March 2017 to June 2021 were selected as the research objects.They were divided into control group(40 cases)and observation group(40 cases)by random number table method.The control group was treated with direct reduction combined with proximal humeral locking plate fixation.The observation group was treated with multiple Kirschner wire prying reduction combined with proximal humeral locking plate.The clinical operation indexes,Constant-Murley score,shoulder joint mobility and complication rate were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the fracture healing time and hospitalization time were shorter than those of the control group,the incision length was longer than that of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05).The Constant-Murley scores of the two groups at 6 months after operation were higher than those before operation,and the observation was higher than that of the control group(P<0.05).The external rotation,flexion and abduction of shoulder joint in the two groups at 6 months after operation were greater than those before operation,and those in the observation group were greater than those in the control group(P<0.05).There was no significant difference in the incidence of complications between the observation group and the control group(P>0.05).Conclusion Multiple Kirschner wire prying reduction combined with proximal humeral locking plate is effective in the treatment of fracture of surgical neck of humerus,which can improve clinical surgical indicators,reduce surgical trauma,improve shoulder joint function and activity,and has high su

关 键 词：克氏针撬拔复位 肱骨近端锁定钢板 肱骨外科颈骨折 肩关节功能 

分 类 号：R683.41[医药卫生—骨科学]