北京大学学报（医学版）Issue(5)：666-670,5.DOI:10.3969/j.issn.1671-167X.2011.05.006
肱骨近端骨折锁定接骨板治疗术后并发症分析
Complication analysis of proximal humeral fractures treated with locking plate
摘要
Abstract
Objective: To analyze complications of surgically treated proximal humeral fractures with locking plate. Methods: Eighty three (30 males and 53 females) coherent unstable proximal humeral fractures were treated with locking plate from January 2007 to January 2010 with a mean follow-up lasting 23.5 months ( 10 -51 months ). Their mean age was 66.4 years (33 -89 years). The patients were evaluated with outpatient physical examination, X-ray film, visual analogue scale (VAS) , and Constant-Murley scores. Complications and functional outcome of the involved shoulders were recorded and estimated. Complications were diagnosed in 15 cases, varus malunion in 6, humeral head necrosis in 3, delayed union in 1, screw cut-out in 3, and subacromio-impingement in 3. Four cases were combined with two or more complications. Result: Four-part fractures had higher complication risks in implant related complications (P =0.009) and none implant related complications (P =0.003). Age and comobities had little influence on complication occurrence. Conclusion: Although locking plate provides optimal clinical results in proximal humeral fracture management, its complications should be highly considered. Preoper-ative evaluation, implant option, accurate reconstructions and rehabilitations are key points to restore the shoulder function.关键词
肱骨骨折/骨板/骨折固定术,内/手术后并发症Key words
Humeral fractures/Bone plates/Fracture fixation, internal/Postoperative complications分类
医药卫生引用本文复制引用
付中国,邓磊,白露,陈建海,张培训,党育,张殿英,姜保国..肱骨近端骨折锁定接骨板治疗术后并发症分析[J].北京大学学报（医学版）,2011,(5):666-670,5.基金项目
“十一五”国家科技支撑计划重点项目(2007BAI04B06)资助 （2007BAI04B06）
