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O臂导航辅助肱骨髓内钉与锁定加压钢板内固定在肱骨复杂骨折中的应用效果研究

吴昊 罗良雨 邓新恒 毕楷 刘瑜

临床医学工程2025,Vol.32Issue(11):1239-1242,4.
临床医学工程2025,Vol.32Issue(11):1239-1242,4.DOI:10.3969/j.issn.1674-4659.2025.11.1239

O臂导航辅助肱骨髓内钉与锁定加压钢板内固定在肱骨复杂骨折中的应用效果研究

Study on the Application Effect of O-Arm Navigation Assisted Humeral In-tramedullary Nail and Locking Compression Plate Fixation in Complex Humeral Fractures

吴昊 1罗良雨 1邓新恒 1毕楷 1刘瑜2

作者信息

  • 1. 南阳市中医院独山院区 上肢创伤科,河南 南阳 473000
  • 2. 南阳市中心医院 骨科,河南 南阳 473000
  • 折叠

摘要

Abstract

Objective To explore the application effect of O-arm navigation assisted humeral intramedullary nail and locking compression plate fixation in complex humeral fractures.Methods 110 patients with complex humeral fractures who were enrolled from June 2022 to December 2024 were selected for the study,and were divided into group A and group B according to different treatment methods.Group A received O-arm navigation assisted humeral intramedullary nail treatment,while group B received locking compression plate internal fixation treatment.The clinical indicators,fracture healing status,joint function scores,and complications were compared between the two groups.Results Group A had significantly better surgical time,intraoperative blood loss,and intraoperative fluoroscopy frequency than group B,and the fracture healing time was shorter(P<0.05).The excellent and good rate of fracture healing in group A was significantly higher than that in group B(94.55%vs.78.18%,P<0.05).At 3 and 6 months after surgery,the shoulder joint function scores and elbow joint function scores of patients in group A were significantly higher than those in group B(P<0.05).The overall incidence of complications in group A was significantly lower than that in group B(3.64%vs.14.55%,P<0.05).Conclusions Compared to locking compression plate fixation,O-arm navigation assisted humeral intramedullary nail in the treatment of complex humeral fractures can significantly optimize surgical indicators,shorten fracture healing time,improve joint function recovery,and reduce the occurrence of complications.

关键词

肱骨复杂骨折/O臂导航/肱骨髓内钉/锁定加压钢板/内固定

Key words

Complex humeral fractures/O-arm navigation/Humeral intramedullary nail/Locking compression plate/Internal fixation

分类

医药卫生

引用本文复制引用

吴昊,罗良雨,邓新恒,毕楷,刘瑜..O臂导航辅助肱骨髓内钉与锁定加压钢板内固定在肱骨复杂骨折中的应用效果研究[J].临床医学工程,2025,32(11):1239-1242,4.

基金项目

2023年度南阳市科技发展计划项目(编号:23KJGG125) (编号:23KJGG125)

临床医学工程

1674-4659

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