摘要
目的比较新型解剖型锁定钢板与肱骨近端锁定内固定系统(PHILOS)治疗肱骨近端骨折的疗效。方法回顾性分析2020年1月至2021年6月北京大学第三医院骨科行手术治疗的35例肱骨近端骨折患者资料。男13例,女22例;年龄24~83岁,平均56.7岁。根据使用固定物不同分为2组:新型钢板组14例(采用新型解剖型锁定钢板固定)与PHILOS组(采用PHILOS固定)21例。对两组患者的性别、年龄、骨折分型、手术时间、术中出血量、住院时间、术后1个月和末次随访时美国加州大学(UCLA)肩关节评分、上肢功能障碍评分(DASH)及术后并发症进行随访和比较。结果新型钢板组与PHILOS组患者术前一般资料比较差异均无统计学意义(P>0.05),具有可比性。所有患者术后获6~21个月(平均11.3个月)随访。新型钢板组手术时间为(83.9±29.2)min,术中出血量为(36.4±27.1)mL,住院时间为(2.3±1.1)d,术后1个月UCLA评分和DASH评分分别为(20.1±4.7)、(55.5±19.1)分,末次随访时UCLA评分和DASH评分分别为(28.5±4.6)、(25.1±24.4)分,术后有2例患者发生并发症;PHILOS组手术时间为(85.0±38.8)min,术中出血量为(62.9±46.8)mL,住院时间为(2.4±0.9)d,术后1个月UCLA评分和DASH评分分别为(21.0±3.8)、(49.6±23.7)分,末次随访时UCLA评分和DASH评分分别为(28.0±5.1)、(19.1±17.3)分,术后有3例患者发生并发症。以上项目两组间比较差异均无统计学意义(P>0.05)。结论新型解剖型锁定钢板固定治疗肱骨近端骨折可以获得良好的骨折愈合,患者肩关节功能满意,与PHILOS固定疗效相当,是一种可行的内固定方式。
Objective To compare a novel kind of anatomical locking plate versus proximal humeral internal locking system(PHILOS)in the treatment of proximal humerus fractures.Methods A retrospective study was performed in the 35 patients with proximal humerus fracture who had been operatively treated at Department of Orthopedics,The Third Hospital of Peking University from January 2020 to June 2021.They were 13 males and 22 females,aged from 24 to 83 years(average,56.7 years).Of them,14 were fixated by the novel anatomical locking plate and 21 by PHILOS.The 2 groups were compared in terms of gender,age,fracture type,operation time,intraoperative blood loss,hospital stay,University of California(UCLA)shoulder scores and Disability of Arm Shoulder and Hand(DASH)scores for the upper limb dysfunction at one month after operation and at the last follow-up,and postoperative complications.Results There was no significant difference in the preoperative general data between the novel plate group and the PHILOS group,showing comparability between them(P>0.05).All the patients were followed up for 6 to 21 months(mean,11.3 months).In the novel anatomical plate group,the operation time was(83.9±29.2)min,the intraoperative blood loss was(36.4±27.1)mL,the hospital stay was(2.3±1.1)d,the UCLA score and DASH score at one month after operation were(20.1±4.7)points and(55.5±19.1)points,the UCLA score and DASH score at the last follow-up were(28.5±4.6)points and(25.1±24.4)points,respectively;2 patients developed complications after operation.In the PHILOS group,the operation time was(85.0±38.8)min,the intraoperative blood loss was(62.9±46.8)mL,the hospital stay was(2.4±0.9)d,the UCLA score and DASH score at one month after operation were(21.0±3.8)points and(49.6±23.7)points,and the UCLA score and DASH score at the last follow-up were(28.0±5.1)points and(19.1±17.3)points,respectively;3 patients developed complications after operation.There was no significant difference in all the above items between the 2 groups(all P>0.05).Conclu
作者
何百川
田耘
He Baichuan;Tian Yun(Department of Orthopedics,The Third Hospital of Peking University,Beijing 100191,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2022年第8期679-686,共8页
Chinese Journal of Orthopaedic Trauma
关键词
肩骨折
骨折固定术
随访研究
骨板
Shoulder fractures
Fracture fixation
Follow-up studies
Bone plates
