锁定钢板联合同种异体骨移植增强固定治疗肱骨近端骨质疏松粉碎性骨折的临床观察  

Clinical observation of locking plate combined with allogenic bone transplantation and enhanced fixation in the treatment of osteoporotic comminent fracture of proximal humerus

作　　者：柯敏 王笑山 郑德文 程伟峰 KE Min;WANG Xiaoshan;ZHENG Dewen;CHENG Weifeng(Department of Orthopaedics,Guangxin District People's Hospital of Shangrao City,Shangrao,Jiangxi,334100,China)

机构地区：[1]上饶市广信区人民医院骨科,江西上饶334100

出　　处：《当代医学》2024年第23期52-56,共5页Contemporary Medicine

基　　金：上饶市科技计划项目(2022CZDX70)。

摘　　要：目的探讨肱骨近端锁定钢板联合同种异体骨移植增强固定治疗肱骨近端疏松粉碎性骨折的临床效果。方法选取2020年10月至2022年12月上饶市广信区人民医院收治的86例肱骨近端骨质疏松粉碎性骨折患者作为研究对象,采用随机数字表法分为对照组与研究组,每组43例。对照组实施肱骨近端锁定钢板固定术式,研究组实施锁定钢板联合同种异体骨移植增强固定术式。比较两组术后恢复情况、影像学参数、肩关节功能、疼痛程度及术后并发症发生情况。结果研究组骨折愈合时间、骨痂出现时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组颈干角大于对照组,肱骨头丢失高度低于对照组,差异有统计学意义(P<0.05)。术后,两组疼痛、活动度、肌力、日常活动评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05)。术后1、2、4个月,两组视觉模拟评分法(visual analog scale,VAS)评分均低于前一时间点,且研究组均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论肱骨近端骨质疏松粉碎性骨折实行锁定钢板联合同种异体骨移植增强固定,可促进骨折愈合,改善肩关节功能,减少并发症的发生。Objective To explore the clinical effect of locking plate combined with allogenic bone transplantation and enhanced fixation in the treatment of osteoporotic comminent fracture of proximal humerus.Methods A total of 86 patients with osteoporotic comminent fracture of proximal humerus treated in Guangxin District People's Hospital of Shangrao City from October 2020 to December 2022 were selected as the study subjects,and they were divided into the control group and the study group by random number table method,with 43 cases in each group.The control group was treated with proximal humeral locking plate,while the study group was treated with locking plate combined with allogeneic bone transplantation.The postoperative recovery,imaging parameters,shoulder joint function,pain degree and postoperative complications rate were compared between the two groups.Results The fracture healing time,callus occurrence time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The stem Angle of neck in the study group was greater than that in the control group,and the loss height of humerus head was lower than that in the control group,the differences were statistically significant(P<0.05).After operation,the scores of pain,activity,muscle strength,and daily activities of the two groups were higher than those before operation,and the study group was higher than the control group,the differences were statistically significant(P<0.05).At 1,2 and 4 months after operation,visual analog scale(VAS)scores of the two groups were lower than the previous time point,and the study group was lower than the control group,the differences were statistically significant(P<0.05).The incidence of complication in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Locking plate combined with allogeneic bone transplantation and enhanced fixation for osteoporotic comminuted fractures of

关 键 词：锁定钢板 同种异体骨移植 肱骨近端骨折 骨质疏松 

分 类 号：R68[医药卫生—骨科学]