北京大学学报（医学版）2017，Vol.49Issue(2)：242-245,4.DOI:10.3969/j.issn.1671-167X.2017.02.011
应用肩峰前外侧小切口治疗肱骨近端骨折
Minimally invasive plate osteosynthesis for treatment of proximal humeral fractures through anterolateral acromial approach
张权 1孙宁 1黄强 1朱仕文1
作者信息
- 1. 北京积水潭医院创伤骨科, 北京 100035
- 折叠
摘要
Abstract
Objective:To investigate the feasibility,surgical technique and effect of osteosynthesis for proximal humerus fractures through the minimal incision anterolateral acromion.Methods: In this study,32 patients of proximal humeral fractures were selected and treated through the minimal incision antero-lateral acromion between January 2012 and October 2014.Of these patients,there were 19 males and 13 females,with mean age 46 years old (range: 22-78 years).The mechanism of injury was a trauma of simple fall for 21 patients and motor vehicle accident for 11 patients.According to Neer classification,18 cases had two-part fractures,12 had three-part fractures,and 2 had four-part fractures.All patients were sustained operation of open reduction and internal fixation.The average delay between trauma and surgery was 4 d (0.5-10.0 d).The operations were performed in invariable operating room with general anesthesia.The fractures were reduced and immobilized with anatomical locking plate through the minimal incision anterolateral acromion during operation.Patients were received passive motion after operation.Results: All the 32 cases were followed up ranging from 3 to 34 months with an average of 11 months.All the fractures were healed.There was neither failure of internal fixation nor incision infection case.The functional results of the shoulder,according to Constant-Murley score was on an average 86 (range: 69-100).Conclusion: The treatment for proximal humeral fractures through the minimal incision anterola-teral acromion approach is a feasible and effective method,which shows good results for treating proximal humerus fractures with correct indication.There are several advantages compared with conventional deltopectoral approach.They are minimal soft tissue disruption,minimal blood loss and easily to manipulate technique.But it required selection of indication strictly and surgeon's experience.关键词
肩骨折/肱骨/骨折固定术,内Key words
Shoulder fractures/Humerus/Fracture fixation/internal分类
医药卫生引用本文复制引用
张权,孙宁,黄强,朱仕文..应用肩峰前外侧小切口治疗肱骨近端骨折[J].北京大学学报（医学版）,2017,49(2):242-245,4.
