摘要
目的评价肱骨骨折术后骨不连的危险因素及再手术方案的疗效。方法回顾性分析自2013年5月至2015年6月我们诊治的肱骨骨折术后患者资料30例。左侧18例，右侧12例，均为术后骨不连，经再手术处理后骨折愈合。结果术后切口均Ⅱ期愈合，随访时间为12—24个月，平均18．5个月，均获得骨陆愈合，无畸形愈合。其中8例合并肘关节部分功能障碍，2例合并骨化性肌炎，无感染及固定物松动、折断发生。按Cassebaum肘关节功能评价标准评定：优20例，良6例，可4例，优良率为86．7％。结论医源性因素仍是导致骨折不愈合的主要因素，合理的再手术治疗可治愈大多数骨折不愈合。
Objective To evaluate the risk factors of postoperative nonunion of humeral fractures and clinical efficacy of reoperation. Methods A retrospective analysis of 30 cases of postoperative humeral fractures treated in our department from May 2013 to June 2015 was conducted. There were 18 cases on the left side and 12 cases on the right side. All the patients suffered postoperative nonunion of humeral fractures and achieved fracture healing after reoperation. Results All the incisions achieved primary healing after reoperation. The postoperative follow-up time ranged from 12 to 24 months with an average of 18.5 months. They all achieved bony union without any malunion. Among them, 8 cases had partial dysfunction of elbow joint and 2 cases had myositis ossificans. No infection and fixator loosening or breaking occurred. According to Cassebaum elbow function evaluation criteria, the results were excellent in 20 cases, good in 6 cases and fair in 4 cases with the excellent and good rate being 86.7%. Conclusion Iatrogenic factors are still the main factors leading to fi-acture nonunion. Reasonable reoperation can cure most of the fracture nonunion.
作者
闻博
陈巧凤
许志通
施建辉
柳明忠
Wen Bo;Chen Qiaofeng;Xu Zhitong;Shi Jianhui;Liu Mingzhong(Department of Orthopedics,the First Hospital of Quanzhou Affiliated to Fujian Medical University,Quanzhou 362000,Chin)
出处
《中华手外科杂志》
CSCD
北大核心
2018年第4期241-243,共3页
Chinese Journal of Hand Surgery
基金
福建省自然科学基金项目（2016J0105）
泉州市卫生计生科研资助计划（2015）
关键词
肱骨骨折
骨折固定术
内
骨不连
危险因素
Humeral fractures
Fracture fixation,internal
Nonunion
Risk factors
