摘要
目的探讨切开复位内固定术(ORIF)对开放性与闭合性AO/OTA-C型肱骨远端骨折患者的影响。方法纳入2017年1月至2020年6月在湖南省株洲市中心医院行ORIF的90例AO/OTA-C型肱骨远端骨折患者,按照骨折类型分为开放性骨折组(40例)与闭合性骨折组(50例)。术后随访至少12个月,比较两组手术时间、术中出血量、住院时间、骨折愈合时间,上肢功能评价指标,术后并发症及再次手术情况。结果两组手术时间、术中出血量及住院时间的比较,差异均无统计学意义(P>0.05);开放性骨折组骨折愈合时间明显长于闭合性骨折组,差异有统计学意义(P<0.05)。两组均获得随访,随访时间12~55个月,中位随访时间35.60个月。两组屈伸活动度、旋转活动度、Mayo肘关节功能评分、上肢功能障碍评分、优良率、术后并发症发生率及再次手术率比较,差异均无统计学意义(P>0.05)。结论开放性与闭合性AO/OTA-C型肱骨远端骨折患者实施ORIF术后的上肢功能及预后无明显差异,但开放性骨折延迟愈合。
Objective To investigate the effect of open reduction and internal fixation(ORIF)on patients with open and closed AO/OTA-C type distal humeral fractures.Methods A total of 90 patients with AO/OTA-C type distal humeral fractures who underwent ORIF in Zhuzhou Central Hospital,Hunan Province from January 2017 to June 2020 were enrolled and divided into open fracture group(40 cases)and closed fracture group(50 cases)according to fracture type.Postoperative follow-up was at least 12 months.Operation time,intraoperative blood loss,length of hospital stay,fracture healing time,upper limb function evaluation indexes,postoperative complications and reoperation were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss and length of hospital stay between the two groups(P>0.05);the fracture healing time of open fracture group was significantly longer than that of closed fracture group,and the difference was statistically significant(P<0.05).Both groups were followed up for 12-55 months,with median follow-up time of 35.60 months.There were no significant differences in flexion and extension activity,rotation activity,Mayo elbow performance score,disabilities of the arm,shoulder and hand score,excellent and good rate,incidence of postoperative complications,and reoperation rate between the two groups(P>0.05).Conclusion There is no significant difference in upper limb function and prognosis between open and closed AO/OTA-C type distal humeral fractures after ORIF,but open fracture healing is delayed.
作者
黄美全
徐红
李艳军
张锡平
邱尔钺
王镖
HUANG Meiquan;XU Hong;LI Yanjun;ZHANG Xiping;QIU Eryue;WANG Biao(Trauma Center,Zhuzhou Central Hospital,Hunan Province,Zhuzhou412007,China)
出处
《中国医药导报》
CAS
2022年第12期88-91,共4页
China Medical Herald
基金
湖南省自然科学基金项目(2019JJ60083)。
