浙江医学2017，Vol.39Issue(10)：811-815,5.DOI:10.12056/j.issn.1006-2785.2017.39.10.2016-1483
双钢板治疗C3型肱骨干骨折的临床分析
Clinical efficacy of dual-plate in treatment of C3 type humeral shaft fractures
摘要
Abstract
Objective To evaluate the clinical efficacy of dual plating in treatment of C3 type humeral shaft fracture.Methods Twelve patients with severely comminuted humeral shaft fractures (OTA,C3) were treated with dual plate in our hospital from January 2010 to March 2015.The clinical data including the injury factors,operation time,intraoperative bleeding,imaging examinations (X-ray or CT) were documented,and the functional recovery was evaluated with Mayo Elbow Performance score (MEPS),Constant-Murley score,disabilities of the arm,shoulder,and hand (DASH).Results The operations were successful in all 12 patients.The average operation time was (62 ± 16)min,the average intraoperative blood loss was (162 ± 12)ml,the mean follow-up was (21.0 ± 3.2) months,the average healing time of fracture was (3.2 ± 1.1) months.One patient who had symptoms of radial nerve injury before surgery achieved full recovery after surgery.At final follow up,the function of shoulder,elbow and wrist in operated limbs was all satisfactory with an average MEPS score of 93.5 ± 3.8,Constant-Murley score of 91.6 ± 3.6 and DASH score of 15.0 ± 3.0.Conclusion Internal fixation with dual-plate is an effective treatment for type C3 humeral shaft fractures with advantages of practicable technique,stable fixation,early and aggressive range of motion and early functional recovery,and no significant complications.关键词
肱骨干骨折/双钢板/内固定Key words
Humerus shaft fracture/Dual plating/Fixation strength引用本文复制引用
张勇,杨立峰,庄云强,马维虎,校佰平,胡勇,徐荣明..双钢板治疗C3型肱骨干骨折的临床分析[J].浙江医学,2017,39(10):811-815,5.基金项目
浙江省医药卫生一般研究计划(2014KYA201) （2014KYA201）
