生物骨科材料与临床研究2017，Vol.14Issue(3)：13-15,3.DOI:10.3969/j.issn.1672-5972.2017.03.004
应用新型网状解剖型钢板治疗移位肱骨大结节骨折的疗效分析
The results analyse of internal fixation of humeral greater tubercle fractures with a new latticed locking plate
摘要
Abstract
Objective To evaluate the clinical effects of a new latticed locking plate in the treatment of humeral greater tubercle fractures.Methods A total of 23 patients with humeral greater tubercle fractures classified as Neer Ⅱ type underwent internal fixation operation using a new latticed locking plate from Dec 2014 to Sep 2016.The treatment consisted of open reduction,internal fixation and shoulder cuff injury repair with plate and screws through an about 4 cm length proximal anterior lateral incision.Functional exercise guidance were provided post operation.Results All patients were followed after operation.The fracture healing time and joint functional recovery of these patients were evaluated.The mean follow-up period was 4 (range,3 ～ 6) months.The average time to achieve fracture union was 8 (range,6 ～12) weeks.The final Neer shoulder functional scores were excellent in 13 patients,good in 7,moderate in 7,and poor in 1.The total excellent and good rate of patients was 86％.One case occurred postoperative displacement.Postoperative complications included nerve and vascular injury,superficial infection,and loosening or breakage of internal fixation complications were not observed.Conclusion The new latticed locking plate has the advantages of minimal injury and strong internal fixation.It is satisfactory in the treatment of humeral greater tubercle fracture.关键词
肱骨大结节/肩骨折/内固定器/手术Key words
Greater tubercle/Shoulder fractures/Internal fixation/Operation分类
医药卫生引用本文复制引用
王明辉,高峰,王秀会..应用新型网状解剖型钢板治疗移位肱骨大结节骨折的疗效分析[J].生物骨科材料与临床研究,2017,14(3):13-15,3.基金项目
上海市浦东新区卫计委学科人才培养(PWRd2014-15) （PWRd2014-15）
