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时间:2020-04-23
《锁定加压钢板微创治疗肱骨干骨折(钢板内固定)术后失效11例-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、实用手外科杂志2014年6月第28卷第2期]OURNALOFPRACTICALHANDSURGERYIun2014,Vol28,No2·临床论著·文章编号:16712722(2014)02—0164—04锁定加压钢板微创治疗肱骨干骨折(钢板内固定术后失效11例明立功,明朝戈,明立阳,明立山,王自方,范会强,王慧f河南省沿具骨科院干外科.河南专阳456485)摘要:目的探讨锁定加压铜板(1ockingcompressionplate,LCP)微创治疗肱骨干骨折钢板内固定术后失效的临床效果。方法2009年4月一2011年1月收治肱骨干骨折术后内固定失效患者11例。均采
2、用LCP置入,原内固定物取出,骨折端有缺损者行自体骨植骨。结果11例术后获12~25个月(平均17个月)随访,骨折全部愈合,愈合时间3-7个月(平均4.5个月)。肘关节功能按Mayo评分标准评定:优7例,良3例,可1例,优良率90.9%。肩关节功能按Neer评分标准评定:优7例,良4例,优良率100%。无钢板螺钉松动、弯曲及断裂等内固定失效的发生,无神经、血管损伤。结论对于肱骨干骨折钢板内固定术后失效的患者,采用LCP微创治疗,必要时一期植骨.具有骨折愈合率高、功能恢复好等优点。关键词:肱骨骨折;不愈合:钢板失效:骨折固定术:内固定doi:i0.3969/1.iS
3、SFI.1671—2722.2014.02.019Minimallyinvasivetreatmentofhumeralshaftfracturebylockingcompressionplatefixationforthepostoperativefailureof11casesMINGLi—gong,MINGZhao—ge,MINGLi—yang,etal(DepaitmentofHandSurgery,HuaxianOrthopedicsHospitalofHenanProvince,Anyang,Henan,456485,China)Abstract:0b
4、jectiveToinvestigatetheclinicaleffectofthelockingcompressionplate(LCP)fortheminimallyinvasivetreatmentofhumeralshaftfracturefailure.MethodsFromApril2009toJanuary201111postoperativefailurecasesofhumeralshaftfracturewithinternalfixationweretreatedbyLCPreplacement,theoriginalfixationwere
5、removed,autologousboneweretransplantedtOthedefect.Results11caseswerefollowedupfor12~25months(average17months),allfractureshealed,thehealingtimewas3~7months(average4.5months).accordingtostandardofMayoscoreevaluation,Theelbowjointfunctionwas:excelentin7cases,goodin3cases,moderatein1case
6、,theexcelentandgoodratewas90.9%.AccordingtOstandardofNeerscoreofshoulderjointfunctionevaluation:excelentin7cases,goodin4cases,theexceHentandgoodratewas100%.Nofixationfailure,plateandscrewloosening,bendingorfracture,nonerve,vascularinjuryoccurred.ConclusionForthepostoperativefailureofh
7、umeralshaftfracturesplatefixation,theinvasivetreatment,LCP,combinedwithonestagebonegraftingwhennecessary,hasadvantagesofhighrateoffracturehealing,andgoodfunctionalrecovery.Keywords:Humeralfracture;Nonunion;Steelplatefailure;Fracturefixation;Internalfixation肱骨干骨折术后内固定失效多因一期处理不当定术后失效的患者
8、,采用何种
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