闭合手法复位经皮插板内固定治疗肱骨近端骨折的临床研究

刘寒江  白 玉

（郑州市骨科医院，河南  郑州，450052）

中图分类号：R244.1    文献标识码：A    文章编号：1674-7860(2015)33-0119-03    证型：IDGB

【摘  要】目的：评价闭合手法复位经皮插板加压钢板内固定治疗肱骨近端骨折的疗效。方法：应用手法间接复位技术，采用微型切口，通过建立骨折两端皮下隧道用锁定加压钢板内固定治疗肱骨近端骨折33例。结果：31例获得随访，2例失访，平均随访42周。骨折愈合时间为术后13周。肩关节功能按照Neer评分标准，功能优10例，良17例，中4例，优良率87.0%。所有随访病例均无骨折延迟愈合或不愈合，无感染及内固定失败等并发症。结论：闭合手法复位经皮插板加压钢板内固定治疗肱骨近端骨折符合生物力学固定（BO）原则，尤其适用于老年骨质疏松患者，切口及手术创伤小，对肩关节干扰少，内固定简单牢靠，可早期功能锻炼，有利于骨折的愈合及软组织的修复，可以较好的改善肩关节功能。

【关键词】肱骨近端骨折；手法复位；经皮插板

【Abstract】Objective:To evaluate the clinical effect of manual closing reduction andpercataneous compression plate for proximal humerus fracture. Methods: 33 casesof proximal humerus fracture were treated with locking compression platethrough indirect manual reduction and creating subcutaeous tunnel at bothfrature side. Results: 31 cases were followed up for average 42 weeks (2 caseswas missed). The fracture healing time was 13 weeks after operation. Accordingto Neer scoring system, the results of the shoulder function were excellent in10 cases, good in 17, fair in 4.The excellence rate was 87%. All the following cases had no delayedunions, fracture nonunions or complications. Conclusions: Manual closing reduction and percataneous compression platefor proximal humerus fracture complies with Biomechanics principle, especially for the elder osteoporosis patients.Application of Manual closing reduction and percataneous compression platetechnique is a superior option for proximal humerus fracture.

【Keywords】Proximal humerus fracture; Manual reduction;Percataneous plate

doi:10.3969/j.issn.1674-7860.2015.33.060

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