摘要
目的探讨内侧距螺钉的有无对Multiloc髓内钉治疗NeerⅢ型骨折术后疗效的影响。方法回顾性分析2016年1月至2021年12月在四川省骨科医院上肢科接受Multiloc髓内钉治疗的36例肱骨近端NeerⅢ型骨折的患者资料,男6例,女30例;年龄(63.9±5.3)岁。按照是否使用内侧距螺钉分组:无内侧距螺钉组17例,有内侧距螺钉组19例。比较末次随访时两组患者前屈上举、外旋、内旋摸背、视觉模拟评分(VAS)、美国肩肘外科协会评分(ASES)、Constant-Murley肩关节功能评分(Constant评分)、颈干角及并发症发生情况。结果两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。36例患者术后获13.5(12.0,19.8)个月随访。末次随访时,无内侧距螺钉组患者前屈上举、外旋、内旋摸背、VAS评分、ASES评分、Constant评分、颈干角分别为134.1°±8.4°、32.1°±5.3°、14.0(13.0,15.5)、0.0(0.0,1.0)分、(78.2±5.2)分、(78.0±5.8)分、137.6°±8.1°,与有内侧距螺钉组[134.7°±6.1°、35.0(30.0,35.0)°、14.0(13.0,15.0)、1.0(0.0,1.0)分、(78.2±5.4)分、(76.7±4.5)分、136.9°±6.4°]比较,差异均无统计学意义(P>0.05)。两组分别有6例患者发生并发症,差异无统计学意义(P=1.000)。结论内侧距螺钉的使用对Multiloc髓内钉治疗肱骨近端NeerⅢ型骨折术后功能及并发症的发生均无显著影响。
Objective To investigate the effect of the use of medial calcar screws on the treatment of Neer typeⅢproximal humeral fracture with Multiloc intramedullary nailing.Methods A retrospective study was conducted to analyze the data of 36 patients with Near typeⅢfracture of the proximal humerus who had received Multiloc intramedullary nailing at Department of Upper Limbs,Sichuan Orthopedic Hospital from January 2016 to December 2021.There were 6 males and 30 females with an age of(63.9±5.3)years.They were divided into 2 groups according to whether medial calcar screws had been used or not.There were 17 cases in the group without medial calcar screws and 19 cases in the group with medial calcar screws.The 2 groups were compared in terms of flexion and lifting,external rotation,internal rotation and back touch,visual analogue scale(VAS),American Shoulder and Elbow Surgeons(ASES)score,Constant-Murley score for shoulder function(Constant score),neck shaft angle,and incidence of complications at the last follow-up.Results There were no statistically significant significances in the preoperative general data between the 2 groups,indicating comparability between the groups(P>0.05).The 36 patients were followed up for 13.5(12.0,19.8)months after surgery.The flexion and lifting,external rotation,internal rotation and back touch,VAS,ASES score,Constant score,neck shaft angle at the last follow-up in the group without medial calcar screws were,respectively,134.1°±8.4°,32.1°±5.3°,14.0(13.0,15.5),0.0(0.0,1.0),78.2±5.2,78.0±5.8,and 137.6°±8.1°,insignificantly different from those in the group with medial calcar screws[134.7°±6.1°,35.0(30.0,35.0)°,14.0(13.0,15.0),1.0(0.0,1.0),78.2±5.4,76.7±4.5,and 136.9°±6.4°](P>0.05).Postoperative complications occurred in 6 patients in each group,showing no statistically significant difference between the 2 groups(P=1.000).Conclusion The use of medial calcar screws has no significant impact on the postoperative shoulder function and incidence of complications in the treatm
作者
张星星
代飞
向明
Zhang Xingxing;Dai Fei;Xiang Ming(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Upper Limbs,Sichuan Orthopedic Hospital,Chengdu 610041,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2023年第5期427-432,共6页
Chinese Journal of Orthopaedic Trauma
基金
四川省骨科医院基金(2021LCZX02)
成都市卫生健康委员会基金(2022126)。
关键词
肩关节
骨折固定术
内
骨钉
肱骨近端骨折
内侧距螺钉
Shoulder joint
Fracture fixation,internal
Bone nails
Proximal humerus fractures
Medial calcar screw
