摘要
目的探讨长型肱骨近端内固定锁定系统(proximal humeral internal locking system,PHILOS)治疗复杂肱骨干中上段骨折的方法和临床疗效。方法自2012年1月至2017年4月,我们采用长型PHILOS治疗复杂肱骨干中上段骨折患者9例。骨折按AO/OTA分型:B2型1例,B3型2例,C3型6例。采用Constant-Murley肩关节评分标准进行功能评估,计算评分百分比,即患侧评分占健侧评分的百分比。结果术后9例患者均获得随访,时间为12~48个月,平均20个月。所有骨折均愈合,术后无伤口感染,无血管、神经损伤。根据Constant-Murley肩关节评分标准,患侧在末次随访时为64~95分,平均82.3分。评分百分比为71%~97%,平均85.1%。优良7例,中2例。结论长型PHILOS内固定治疗复杂肱骨干中上段骨折可获得理想的临床疗效,合并损伤的有效处理,手术时机的正确选择,骨折复位和固定的良好技巧是治疗成功的关键。
Fractures Application of long proximal humeral internal locking system fixation for treatment of complex middle-proximal humeral shaft fractures Shao Qin, Wang Xujia, Zhang Yue, Shen Yang, Li Jianrui, Sun Guixin Published 2019-04-10 Cite as Chin J Hand Surg, 2019,35(2): 81-83. DOI: 10.3760/cma.j.issn.1005-054X.2019.02.001 Abstract Objective To investigate the method and clinical efficacy of long proximal humeral internal locking system (PHILOS) fixation in the treatment of complex middle-proximal humeral shaft fractures. Methods From January 2012 to April 2017, 9 cases of complex middle-proximal humeral shaft fractures were treated with long PHILOS fixation. According to AO/OTA classification, 1 case was type B2, 2 cases were type B3 and 6 cases were type C3. Constant-Murley shoulder scoring system was used to evaluate the function and calculate the percentage of the score, percentage of affected side score to healthy side score. Results Postoperatively all the 9 patients were follow-up for 12 to 48 months with an average of 20 months. All the fractures healed without wound infection and vascular and nerve injuries. According to Constant-Murley shoulder score, the average score of the affected side at the last follow-up was 82.3, ranging from 64 to 95. The percentage of scores ranged from 71% to 97%, with an average of 85.1%. The results were rated as excellent or good in 7 cases and fair in 2 cases. Conclusion Long PHILOS fixation is an effective method for treatment of complex middle-proximal humeral shaft fractures. The effective treatment of combined injuries, correct choice of operative timing, good techniques of fracture reduction and fixation are the keys to successful treatment.
作者
邵钦
王戌佳
张玥
沈阳
李建锐
孙贵新
Shao Qin;Wang Xujia;Zhang Yue;Shen Yang;Li Jianrui;Sun Guixin(Department of Trauma Surgery, East Hospital Affiliated to Tongji University, Shanghai 200120, China)
出处
《中华手外科杂志》
CSCD
北大核心
2019年第2期81-83,共3页
Chinese Journal of Hand Surgery
关键词
肱骨骨折
治疗结果
骨折固定术
内
锁定接骨板
Humeral fractures
Treatment outcome
Fracture fixation,internal
Locking plate
