MIPPO技术结合锁定加压钢板治疗肱骨干骨折的临床疗效分析

发布时间：2018-02-20 01:38

本文关键词： 微创经皮钢板内固定肱骨骨折前侧入路锁定加压钢板　出处：《解放军医学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨微创经皮钢板内固定(MIPPO)结合锁定加压钢板(LCP)治疗肱骨干骨折的临床疗效。方法回顾性分析2012年1月-2015年12月采用前侧入路MIPPO技术内固定治疗的15例闭合性肱骨干骨折患者的临床资料。其中男9例,女6例,年龄23~65岁,平均42岁;肱骨中上段骨折4例,中段骨折8例,中下段骨折3例;骨折按AO/ASIF分型A型5例,B型7例,C型3例。术后观察患者的桡神经功能、骨折愈合时间及肩肘关节功能恢复情况。结果本组手术时间为65~110min,平均80min。术后切口均一期愈合,无医源性桡神经损伤。15例均获随访,随访时间5~22个月,平均13个月,骨折愈合时间10~15周,平均12.5周。末次随访时肩关节UCLA评分优14例、良1例,肘关节功能Mayo评分优13例、良2例。结论前入路MIPPO结合LCP治疗肱骨干骨折简单、安全,是一种较好的手术方法。
[Abstract]:Objective to investigate the clinical effect of minimally invasive percutaneous plate fixation (MIPPO) combined with locking compression plate (LCP) in the treatment of humeral shaft fracture. Methods from January 2012 to December 2015, 15 cases of humeral shaft fractures treated by anterior approach MIPPO internal fixation were retrospectively analyzed. Clinical data of patients with humeral shaft fracture. There were 6 females, aged 2365 years (mean 42 years), 4 middle and upper humeral fractures, 8 middle and lower humeral fractures, 5 patients with type A and 7 patients with type C according to AO/ASIF classification. The radial nerve function was observed after operation. Results the operative time was 65 ~ 110 min (mean 80 min). All the incisions were healed at the first stage. All the 15 cases without iatrogenic radial nerve injury were followed up. The follow-up time was 5 ~ 22 months (mean 13 months). The fracture healing time was 1015 weeks (mean 12.5 weeks). At the last follow-up, the UCLA score of shoulder joint was excellent in 14 cases, good in 1 case, good in 13 cases and good in 2 cases. Conclusion anterior approach MIPPO combined with LCP is simple and safe in the treatment of humeral shaft fracture. It is a better operation method.
【作者单位】：江苏省连云港市赣榆区人民医院骨科;
【分类号】：R687.3

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