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解剖钢板联合张力带治疗肱骨外科颈骨折的效果

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目的 评价解剖钢板联合张力带治疗肱骨外科颈粉碎性骨折的效果.方法 2010年8月-2016年11月,我院应用解剖钢板联合张力带治疗肱骨外科颈粉碎骨折(NeerⅢ~Ⅳ型)病人26例,分析其临床治疗效果.结果 所有病人均获随访,随访时间10~24个月,术后半年影像学检查骨折断端均无螺钉松动、切割,无钢板断裂,无骨折畸形愈合,根据Neer评分优19例,良4例,可2例,差0例,优良率为88.46%.结论 对于肱骨外科颈粉碎性骨折应用解剖钢板联合张力带固定,骨折固定牢靠,病人能够早期行功能锻炼,肩关节功能恢复良.
CLINICAL EFFECT OF ANATOMICAL PLATE COMBINED WITH TENSION BAND IN TREATMENT OF SURGICAL NECK FRACTURE OF THE HUMERUS
Objective To investigate the clinical effect of anatomic plate combined with tension band in the treatment of comminuted surgical neck fracture of the humerus.Methods A total of 26 patients with comminuted surgical neck fracture of the humerus (Neer Ⅲ-Ⅳ) who were treated with anatomic plate combined with tension band in our hospital from August 2010 to November 2016 were enrolled,and their clinical outcomes were analyzed.Results All patients were followed up for 10-24 months.Imaging examination performed at half a year after surgery showed no screw loosening,cutting,plate fracture,or malunion at the fracture site.According to the Neer scoring system,19 patients had excellent scores,4 had good scores,2 had fair scores,and no patient had poor scores,which resulted in an excellent and good rate of 88.46%.Conclusion In the treatment of comminuted surgical neck fracture of the humerus,anatomic plate combined with tension band helps to achieve good facture fixation,and patients can take functional exercise in the early stage and have good functional recovery of shoulder joint.

humeral fracturesfractures, comminutedtension tapefracture fixationtreatment outcome

吕翔、徐顺利、李洋、刘志方、张辉

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获嘉县红十字医院骨科,河南新乡 453800

肱骨骨折 骨折,粉碎性 张力带 骨折固定术 治疗结果

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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