微创锁定接骨板治疗对肱骨近端骨折肩关节功能的影响

Abstract
Figure/Table
References (28)
Related Citation (2)

Download: PDF (600 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effects of minimally invasive percutaneous osteosynthesis on shoulder function of proximal humeral fractures. Methods A total of 63 clinical data of patients with proximal humeral fractures treated in the Second People′s Hospital of Dalian City from June 2015 to June 2016 were reviewed retrospectively and divided into the minimally invasive group (31 cases) and the traditional invasive group (32 cases) according to the different operation methods. The minimally invasive group was treated with minimally invasive percutaneous osteosynthesis and the traditional invasive group was treated with open reduction and internal fixation. The general situation (including operation time, intraoperative blood loss, hospital stays), pain degree, the recovery of shoulder function, patients′ satisfaction and the adverse reactions were compared between the two groups. Results The operation time, intraoperative blood loss, hospital stays in the minimally invasive group were shorter or less than those of the traditional invasive group (P ＜ 0.05). After 7 d operation, the VAS score of the minimally invasive group was lower than that of traditional invasive group (P ＜ 0.05). There were no significant differences in VAS scores between the two groups in 3, 6 months after operation (P ＞ 0.05). After 15 d operation, the excellent and good rate of Neer shoulder function score of minimally invasive group was higher than that of the traditional invasive group (P ＜ 0.05). There were no significant differences in excellent and good rate of Neer shoulder function score between the two groups in 3, 6 months after operation (P ＞ 0.05). The patients′ satisfaction in the minimally invasive group was higher than that of traditional invasive group (P ＜ 0.05). Conclusion Compared with open reduction and internal fixation, minimally invasive percutaneous osteosynthesis in the treatment of proximal humeral fractures has shorter operation time and hospital stays, less intraoperative blood loss, faster shoulder function recovery, less pain and higher patients′ satisfaction.

Key words： Minimally invasive percutaneous osteosynthesis Open reduction and internal fixation Proximal humeral fractures Shoulder function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Shouyun RUAN Wenli FENG Dianpeng

Cite this article:

WANG Shouyun RUAN Wenli FENG Dianpeng. Effects of minimally invasive percutaneous osteosynthesis on shoulder function of proximal humeral fractures[J]. 中国医药导报, 2017, 14(33): 98-101,105.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I33/98

[1] 韩立强，江汉，肖联平，等.T形切口下微创锁定钢板治疗肱骨近端骨折疗效探讨[J].中华肩肘外科电子杂志，2014，（4）：225-229.
[2] Bhat R，Wani MM，Rashid S，et al. Minimally invasive percutaneous plate osteosynthesis for closed distal tibial fractures：a consecutive study based on 25 patients [J]. Eur J Orthop Surg Tr，2015，25（3）：563-568.
[3] 马驰蛟，郭征，王财儒，等.改良肩关节前上方入路结合锁定接骨板治疗肱骨近端骨折[J].现代生物医学进展，2014，14（34）：6726-6731.
[4] 王磊，王凤凤，马延辉，等.髓内钉与锁定接骨板治疗肱骨近端两部分骨折的Meta分析[J].中国组织工程研究，2017，21（3）：478-484.
[5] 宗行万之助.疼痛的估价—用特殊的视觉模拟评分法作参考（VAS）[J].实用疼痛学杂志，1994，（4）：153.
[6] Neer CN. Displaced proximal humeral fractures. I. Classification and evaluation [J]. J Bone Joint Surg Am，1970，52（6）：1077-1089.
[7] 周军，杨丽，于宝占，等.锁定接骨板与人工肩关节治疗老年肱骨近端NeerⅢ、Ⅳ部分骨折疗效比较分析[J].医学综述，2014，20（5）：929-931.
[8] 商澜镨，周方，姬洪全，等.微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的疗效比较[J].北京大学学报：医学版，2013，45（5）：711-716.
[9] 王成光.PHILOS接骨板治疗老年肱骨近端骨折的疗效观察[D].重庆：重庆医科大学，2014.
[10] 万震宇，李皓桓，彭飞，等.肱骨近端锁定接骨板治疗肱骨近端骨折的临床疗效[J].武汉大学学报：医学版，2016， 37（1）：117-121，133.
[11] Cong J，Dong W，Yang W，et al. Minimally invasive percutaneous osteosynthesis versus ORIF for Sanders type Ⅱand Ⅲ calcaneal fractures：a prospective，randomized intervention trial [J]. J Orthop Surg Res，2017，12（1）：10.
[12] 张兴州.锁定接骨板与人工肩关节置换治疗老年肱骨近端Neer三、四部分骨折的对比研究[D].南京：南京中医药大学，2011.
[13] 吴术红.双固定锚钉的生物力学特点及在复发性肩关节前脱位伴重度骨缺损中的应用[J].中国组织工程研究，2016，20（35）：5231-5236.
[14] Zhou ZB，Gao YS，Tang MJ，et al. Minimally invasive percutaneous osteosynthesis for proximal humeral shaft fractures with the PHILOS through the deltopectoral approach [J]. Int Orthop，2012，36（11）：2341-2345.
[15] Pires RE，Mauffrey C，de Andrade MA，et al. Minimally invasive percutaneous plate osteosynthesis for ankle fractures：a prospective observational cohort study.[J]. Eur J Orthop Surg Tr, 2014，24（7）：1297-1303.
[16] 马驰蛟.改良肩关节前上方入路治疗肱骨近端骨折[D].西安：第四军医大学，2014.
[17] 吴焘，张国秋.微创锁定加压钢板内固定改善老年肱骨近端骨折患者的肩关节功能：随机对照临床试验方案[J].中国组织工程研究，2016，20（44）：6655-6660.
[18] 焦庆丰，白鹏程，张媺，等.Philos钢板治疗肱骨近端骨折疗效分析[J].临床骨科杂志，2016，19（3）：336-337.
[19] 葛鸿庆，陈文治.经肩部前外侧入路结合肱骨近端内锁定系统治疗高龄肱骨近端骨折[J].广东医学,2014,35（5）：715-717.
[20] 李雪飞，王林祥，王铁军，等.锁定髓内针系统与锁定钢板治疗老年肱骨近端骨折的临床疗效[J].中国老年学杂志，2014，35（6）：1681-1682.
[21] 杨争艳，李宗泽，胡海权，等.肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的临床效果比较[J].中国当代医药，2016，23（22）：103-105.
[22] 刘氜，杨娟，唐文，等.锁定钢板治疗肱骨近端骨折的临床效果观察[J].中国当代医药，2016，23（19）：99-102.
[23] 张传辉.肱骨近端内固定锁定系统治疗老年肱骨近端骨折的效果观察[J].中国当代医药，2016，23（24）：62-64.
[24] Bj?觟rkenheim JM，Pajarinen J，Savolainen V. Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year [J]. Acta Orthop Scand，2004，75（6）：741-745.
[25] 邢丹，马信龙，马剑雄，等.基于不同力学微环境大鼠骨折愈合模型建立及对局部CGRP受体表达的影响[J].中华骨科杂志，2014，34（5）：582-592.
[26] Ciaes L，Heitemeyer U，Krischak G，et al. Fixation technique infiuences osteogenesis of comminuted fractures [J]. Ciin Orthop Reiat Res 1999，（365）：221-229.
[27] 赵靖宇.锁定钢板与常规手术治疗肱骨近端骨折效果对比[J].中外医学研究，2016，14（3）：39-40.
[28] 闵智蓉.微创锁定加压钢板内固定改善肱骨近端骨折患者肩关节功能的影响研究[J].中国当代医药，2017，24（27）：28-30.