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《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:

2017年02期

页码:

125-128

栏目:

临床研究

出版日期:

2017-05-20

文章信息/Info

Title:

The clinical outcome of shoulder joint dislocation with greater tuberosity fracture treated with a small low-profile locking plate

作者:

张东; 薛锋; 肖海军

201499, 上海市奉贤区中心医院骨科

Author(s):

ZHANG Dong;  XUE Feng;  XIAO Haijun

Department of Orthopaedics, Shanghai Fengxian District Central Hospital, Shanghai 201499, China

关键词:

低切迹锁定小钢板;  微创;  外侧入路;  肱骨大结节骨折

Keywords:

Small low-profile locking plate;  Minimally invasive;  Lateral approach;  Greater tuberosity fracture

分类号:

-

DOI:

10.3969/j.issn.1673-7083.2017.02.014

文献标识码:

-

摘要:

目的 探讨低切迹锁定小钢板微创治疗肩关节脱位伴肱骨大结节骨折临床疗效。方法 回顾性分析2013年至2015年我院收治的27例肩关节脱位伴肱骨大结节骨折病例资料,男17例,女10例,年龄29～71岁,平均(41.06±3.45)岁。其中19例患者接受外侧小切口经三角肌入路低切迹锁定小钢板内固定治疗(低切迹锁定小钢板组),8例患者接受经三角肌胸大肌肌间沟入路肱骨近端锁定钢板内固定治疗(肱骨近端锁定钢板组)。结果 低切迹锁定小钢板组平均手术时间(53.41±5.04)min,肱骨近端锁定钢板组平均手术时间(78.51±9.25)min,两者差异有统计学意义(P<0.05)。低切迹锁定小钢板组平均手术出血量(60.92±8.73)mL,肱骨近端锁定钢板组平均手术出血量(106.03±9.15)mL,两者差异有统计学意义(P<0.05)。末次随访时,低切迹锁定小钢板组和肱骨近端锁定钢板组平均肩关节上举角分别为145.84°±4.73°和137.75°±7.57°,两者差异有统计学意义(P<0.05); 两组平均肩关节外展角分别为137.37°±5.35°和131.50°±7.11°,两者差异有统计学意义(P<0.05); 两组平均Constant-Murley肩关节功能评分分别为(91.74±3.07)分和(87.13±2.17)分,两者差异有统计学意义(P<0.05)。结论 外侧小切口经三角肌入路低切迹锁定小钢板内固定治疗肩关节脱位伴肱骨大结节骨折较经三角肌胸大肌肌间沟入路肱骨近端锁定钢板治疗创伤小,术后肩关节功能恢复好,且肩峰下撞击综合征发生率低。

Abstract:

Objective To investigate the clinical outcome of shoulder joint dislocation with greater tuberosity fracture fixed by a small low-profile locking plate.Methods The data of 27 patients with acute shoulder joint dislocation with greater tuberosity fracture

参考文献/References

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备注/Memo

备注/Memo:

基金项目: 上海市科委科研计划项目(15411970900)
通信作者: 肖海军 E-mail: xiaohaijun89@126.com

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更新日期/Last Update: 2017-05-20