【摘要】：肱骨近端鎖定鋼板固定技術近年來廣泛應用于年輕人高能量粉碎性骨折及老年人骨質疏松骨折。本研究對應用肱骨近端鎖定鋼板聯合異體骨或骨水泥治療老年性肱骨近端不穩(wěn)定骨折的臨床效果進行比較分析。本組25例老年性肱骨近端骨折患者行切開復位肱骨近端鎖定鋼板內固定聯合異體骨植骨或骨水泥填塞治療。術后均隨訪12個月以上。所有患者無感染、內固定松動斷裂、骨折不愈合及肱骨頭壞死等情況,骨折愈合時間平均3.8個月(3個月~7個月)。結果提示:肱骨近端鎖定鋼板聯合異體骨植骨或骨水泥填塞治療老年性肱骨近端骨折的臨床效果均比較滿意,使用骨水泥填塞遠期功能恢復更好。
[Abstract]:Locking plate fixation of proximal humerus has been widely used in high energy comminuted fractures in young people and osteoporosis fractures in the elderly in recent years. In this study, the clinical effects of locking plate of proximal humerus combined with allogeneic bone or bone cement in the treatment of senile proximal humeral unstable fracture were compared and analyzed. 25 cases of senile proximal humerus fracture were treated with open reduction and internal fixation with locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade. All patients were followed up for more than 12 months. No infection, loose fracture of internal fixation, nonunion of fracture and necrosis of brachial head were found in all patients. The average healing time of fracture was 3.8 months (3 ~ 7 months). The results suggest that the clinical effect of locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade in the treatment of senile proximal humerus fracture is satisfactory and the long-term function recovery with bone cement tamponade is better.
【作者單位】： 大連市第三人民醫(yī)院創(chuàng)傷手外科;大連醫(yī)科大學附屬第三醫(yī)院;
【分類號】：R687.32
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本文編號：2405055