摘要
目的评比肱骨近端骨折两种手术的选择及治疗。方法：选取48例肱骨近端骨折患者，采用肩峰端前外侧手术入路30例，采用经胸大肌三角肌间隙入路18例。结果：本组病例平均随访14．2个月（12—19个月），切口均一期愈合，骨折均骨性愈合，术后1年，肩关节Neer评分，肩峰端前外侧手术入路组优良率90％；胸大肌三角肌入路组优良率83．3％。结论：大部分肱骨近端骨折患者可以通过肩峰端前外侧手术切口治疗，胸大肌三角肌入路适合Neer四部分骨折及骨折端明显移位、短缩的患者，且前者手术入路早期疼痛较轻，功能锻炼较好。
Objective To compare two kinds of choices and in the operative treatment of proximal humeral fractures. Methods： 48 patients with proximal humeralfracture, 30 cases were treated with anterolateral acromial Approach and 18 cases were treated with dehopectoral approach. Results： All the patients were followedfrom 12 months to 19 months with the average of 14.2 months, all the patients＂ were get primary wound healing and all fractures showed bone union. According toNear scores 1 year after operation, in anterolateral acromial approach group,the excellent and good rate was 90%, in dehopectoral approach group, the excellentand good rate was 83.3%. Conclusions： Most of patients with proximal humeral fractures can be treated by anterolateral acromial Approach, dehopectoral approachfits for Neer IV patients and the fracture with obvious displacement and erispation, and the former surgical approach with less pain and better functional exercisein the early stage after operation.
出处
《世界中医药》
CAS
2016年第B03期569-570,共2页
World Chinese Medicine
关键词
肱骨近端骨折手术入路
微创
锁定钢板系统
PHILOS钢板
Proximal humeral fracture： Suraical aDnroach： Minimal invasive： Locking nlate system： PHILOS nlate
