解剖型锁定板加张力带内固定治疗肱骨近端四部分骨折的疗效分析

发布时间：2018-03-30 18:07

本文选题：解剖型锁定板1　切入点：张力带2　出处：《山西医科大学》2015年硕士论文

【摘要】：目的:探讨应用解剖型锁定板加张力带内固定治疗肱骨近端四部分骨折的临床疗效。方法:对2011年1月至2014年3月我科收治的34例肱骨近端四部分骨折应用解剖型锁定板加张力带内固定治疗患者中获得完整随访资料的30例,采用Constant-Murley(CM)肩关节评分系统进行术后功能评分。结果:术后随访时间为6个月至24月,平均(11.8±5.9)个月。术后骨折均愈合,无内固定失效,骨折平均愈合时间为9.8周。根据CM评分标准,平均(81.3±12.8)分,优15例,良11例,可3例,差1例;优良率为86.7%。结论:解剖型锁定板加张力带内固定治疗肱骨近端四部分骨折疗效可靠,有利于肩关节早期功能锻炼,是较理想的手术方法。
[Abstract]:Objective: to investigate the clinical effect of anatomic locking plate combined with tension band internal fixation in the treatment of proximal humerus fractures. Methods: 34 cases of proximal humeral fractures were treated from January 2011 to March 2014. There were 30 cases with complete follow-up data obtained in the treatment of type type locking plate and tension band internal fixation. Results: the postoperative follow-up time was from 6 months to 24 months, with an average of 11.8 卤5.9 months. All the fractures healed without internal fixation failure, and the average healing time was 9.8 weeks. The average score was 81.3 卤12.8, excellent in 15 cases, good in 11 cases, fair in 3 cases, poor in 1 case, excellent and good rate was 86.7%. Conclusion: anatomic locking plate plus tension band internal fixation is effective and reliable in the treatment of proximal humeral fractures, which is beneficial to early functional exercise of shoulder joint. It is an ideal surgical method.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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