重庆医学2017，Vol.46Issue(27)：3804-3807,4.DOI:10.3969/j.issn.1671-8348.2017.27.019
微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效研究
Clinical effect of minimal invasion locking plate and traditional open reduction internal fixation for terating proximal humeral fracture
刘鲁山 1于国平 1方俊英 1危杰2
作者信息
- 1. 北大医疗淄博医院骨科,山东淄博255000
- 2. 北京积水潭医院创伤骨科 100035
- 折叠
摘要
Abstract
Objective To compare the clinical effect of minimally invasive plate osteosynthesis (MIPO) and open reduction internal fixation(ORIF)for treating proximal humeral fractures.Methods The clinical data of 65 patients with proximal humeral fractures treated by surgery from February 2011 to January 2013 were collected.The patients were divided into MIPO group (26 cases) and ORIF group (39 cases) according to the surgery mode.The situation of operation and hospitalization was compared between the two groups.The patients were followed up by clinic and telephone modes.The Neer scores and EuroQol 5 dimensions scores (EQ-5D) were adopted to evaluate the function of shoulder joint and quality of life after discharge.The visual analogue scale (VAS) was adopted to evaluate the pain degree.Results Compared with the ORIF group,the MIPO group had less intraoperative bleeding,short operation time and hospital duration,while the incidence rate of complications showed no statistically significant difference between the two groups (P＞0.05).All cases in both groups were followed up for more than 3 years and the mean follow-up period was (47.2±6.1) months.The shoulder joint function scores at last follow up in the MIPO group and ORIF group were (84.1±9.3) points and (82.8+11.5) points,the living quality scores were (0.91+0.09) points and (0.89+0.10) points and the VAS scores were (0.9±0.8) points and (1.2+0.7) points respectively.The scores of various items showed no statistically significant difference (P＞0.05).Conclusion Both MIPO and ORIF obtain the good clinical effect in treating proximal humeral fracture,and the MIPO technique has the advantages of small trauma and rapid recovery.关键词
肱骨骨折/骨折固定术,内/微创/临床疗效Key words
humeral fracture/fracture fixation,internal/minimally invasive/clinical outcome分类
医药卫生引用本文复制引用
刘鲁山,于国平,方俊英,危杰..微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效研究[J].重庆医学,2017,46(27):3804-3807,4.
