中国骨伤2024，Vol.37Issue(3)：288-292,5.DOI:10.12200/j.issn.1003-0034.20220900
异体腓骨髓内支撑结合钢板内固定治疗Neer Ⅳ型肱骨近端骨折的临床疗效
Clinical effect of allogeneic peroneal bone marrow support combined with plate fixation for the treatment of Neer type Ⅳ proximal humeral fractures
摘要
Abstract
Objective To explore clinical effect of allogeneic peroneal bone marrow support combined with plate internal fixation in treating Neer type Ⅳ proximal humeral fractures.Methods From December 2017 to December 2020,12 patients with Neer type Ⅳ proximal humeral fractures were treated with allogeneic peroneal bone marrow support combined with plate internal fixation,including 7 males and 5 females,aged from 56 to 78 years old;the time from injury to operation ranged from 1 to7 days.Operative time,fracture healing time and complications during follow-up were observed,and clinical efficacy was e-valuated by Constant-Murley score at the latest follow-up.Results All patients were obtained follow up for 20 to 29 months.All patients got bone healing and incisicons were healed at stage Ⅰ,operative time ranged from 95 to 138 min,blood loss ranged from 210 to 275 ml,fracture healing time ranged from 14 to 18 weeks.Two patients occurred postoperative shoulder stiffness and recovered after 2 weeks of passive exercise.There were no complications such as infection,poor wound healing,and fail-ure(fracture and loosening)of internal fixators occurred.Constant-Murley shoulder function score ranged from 69 to 89 at the latest follow up,2 patients got excellent results,9 good and 1 fair.Conclusion The application of allogeneic fibular bone mar-row placement could provide effective support for medial humerus,which is conducive to assisting reduction of fracture end,re-ducing occurrence of internal fixation failure caused by collapse of humerus head and screw perforation,and significantly im-proving function of shoulder joint.关键词
异体腓骨/钢板/肱骨近端骨折Key words
Allogeneic fibula/Steel plate/Fracture of proximal humerus分类
医药卫生引用本文复制引用
孙振国,张占丰,胡文林,夏增兵..异体腓骨髓内支撑结合钢板内固定治疗Neer Ⅳ型肱骨近端骨折的临床疗效[J].中国骨伤,2024,37(3):288-292,5.基金项目
浙江省医药卫生科技计划项目(编号:2021KY346)Zhejiang Medical Health Science and Technology Project(No.2021KY346) （编号:2021KY346）
