关节镜下内排锚钉联合外排空心钉内固定治疗肩关节脱位伴肱骨大结节骨折的疗效  

作　　者：孔超 陈石玉 罗建光 樊祥伟 

机构地区：[1]浙江省宁波市镇海区人民医院,315000

出　　处：《浙江临床医学》2024年第7期1029-1031,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨关节镜下内排锚钉联合外排空心钉内固定技术治疗肩关节脱位伴肱骨大结节骨折的临床疗效。方法 回顾分析2018年10月至2022年9月23例肩关节脱位伴肱骨大结节骨折患者的临床资料,手术方式均采用关节镜下内排锚钉联合外排空心钉内固定。收集患者术前与术后6个月患肢活动度、术后骨折愈合时间、术后6个月视觉疼痛评分、UCLA肩关节评分以及Constant-Murley评分明确疗效。结果 23例患者术前和术后患肢活动度比较,差异有统计学意义(P<0.05)。患者骨折愈合时间(12.0±1.0)周,术后6个月视觉疼痛评分(0.7±0.6)分,UCLA肩关节评分(32.0±2.3)分,Constant-Murley评分(93.7±3.4)分,优良率达100%。所有患者术后均无感染、内固定失败、骨折移位等并发症发生。结论 关节镜下内排锚钉联合外排空心钉内固定治疗肩关节脱位伴肱骨大结节骨折切口微创,术后疼痛轻,是一种安全有效的手术方式。Objective To evaluate the clinical effect of arthroscopic reduction and fixation with anchor nail combined with cannulated screw for Fracture of greater tubercle of humerus secondary to shoulder dislocation.Methods Retrospective study was conducted to analyze 23 patients with Fracture of greater tubercle of humerus secondary to shoulder dislocation from October 2018 to September 2022.All patients were treated with arthroscopic assisted reduction of fracture block and internal fixation with anchor nail combined with cannulated screw.The patients'preoperative and 6-month postoperative mobility of the affected limb,postoperative fracture healing time,6-month postoperative VAS pain scores,UCLA shoulder scores,and Constant-Murley scores were collected to clarify the efficacy.Results Comparison of the preoperative and postoperative mobility of the affected limbs in 23 patients showed statistically significant differences(P<0.05).The patients'fracture healing time was(12.0±1.0)weeks,and the VAS pain score(0.7±0.6),UCLA shoulder score(32.0±2.3),and Constant-Murley score(93.7±3.4)at 6 months postoperatively had an excellent rate of 100%.All patients had no postoperative complications such as infection,internal fixation failure,or fracture displacement.Conclusion Arthroscopic reduction and fixation with anchor nail combined with cannulated screw for Fracture of greater tubercle of humerus secondary to shoulder dislocation is a safe and effective surgical method for the treatment with minimally invasive incision and less postoperative pain.

关 键 词：肱骨大结节骨折 肩关节脱位 关节镜 空心钉 锚钉 

分 类 号：R687.3[医药卫生—骨科学]