张清港;朱裕昌;楼列名;吴卫平;

• 1:上海市第十人民医院骨科

摘要(Abstract)：

[目的]评估撬拨复位内侧支撑植骨锁定钢板治疗肱骨近端骨折疗效。[方法]对2008年8月～2010年8月本院73例[平均(56.4±8.7)岁]肱骨近端粉碎性骨折患者,随机分为两组,A组37例,切开复位后仅以锁定钢板固定,B组36例行内侧支撑植骨、骨折撬拨复位、锁定钢板固定。应用统计学方法评价两组术后的影像学指标和肩关节功能。[结果]术后随访8～18个月,平均12.4个月,所有骨折均愈合,平均愈合时间8.7个月,愈合后行内固定取出术。A组和B组中分别发生内固定失效6例和1例,差异有统计学意义(P<0.05),所有内固定失效均出现在术后3个月内。2组分别发生肱骨头内翻8例和1例,有明显统计学意义(P<0.05),丢失角度差异有统计学意义(P<0.05)。根据Constant肩关节评分标准评定:A组和B组的优良率分别为63%和89%,2组的评分差异有统计学意义(P<0.05)。[结论]锁定钢板在治疗肱骨近端骨折中可获得满意的疗效。在治疗肱骨近端骨折时,撬拨复位另以内侧植骨支撑在肱骨头内下方获得支撑,可有效地辅助复位并维持骨折复位,增加骨折固定的稳定性。

关键词(KeyWords)： 肱骨近端骨折;锁定钢板;撬拨复位;植骨;治疗效果

Abstract:

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作者(Author): 张清港;朱裕昌;楼列名;吴卫平;

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参考文献(References)：

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