摘要
采用自行设计的尾部加压调角空心螺纹钉经皮导入内固定术治疗肱骨近端骨折并肩关节前脱位62例,从疼痛、功能、活动度、解剖位置四个方面评分,优良率达96.8%。表明经皮导入内固定治疗肱骨近端骨折并肩关节前脱位复位成功率高,骨折复位与固定可靠,术后不需复杂外固定,可早期活动肩关节,有效防止关节粘连,达到了骨折愈合、关节稳定与功能恢复并进的目的。是目前治疗肱骨近端骨折并肩关节前脱位的创新性方法。
Sixty-two cases of proximal humoral fracture (PHF) and anterior dislocation of the shoulder (ADS) were treated by percutaneous impoted internal fixation (PIIF) through self-designed hollow screw that can make the pressure and regulate the angle at the tail; the results were scored according to the pains, function, activity and anatomical position; and the excellent-good rate reached 96.8 %, suggesting that PCIF used for PHF and ADS has the following advantages: high successful rate of the reduction; reliable reduction and fixation of the fracute; no need of the complex post-operative external fixation; allowance of the early exercises of the shoulder; effective prevention of the joint adhesion; simultaneous accomplishment of the fracture healing, joint stability and function recovery, being a today's new-created therapy for PHF and ADS.
出处
《中医正骨》
2005年第6期7-9,i001,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
肱骨近端骨折并肩关节脱位/治疗
外科手术
手法复位
骨折固定术
经皮导入内固定术
临床研究
proximal humoral fracture with anterior dislocation of the shoulder/treatment, fracture immobilization, percutaneous imported internal fixation, clinical study
