[1]白东昱,史永涛,赵程锦,等.内固定技术治疗肱骨大结节骨折临床研究*[J].陕西医学杂志,2019,(7):867-869.
 BAI Dongyu,SHI Yongtao,ZHAO Chengjin,et al.Clinical effect study on the avulsion fracture of greater tubercle of humerus[J].,2019,(7):867-869.
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内固定技术治疗肱骨大结节骨折临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年7期
页码:
867-869
栏目:
临床研究
出版日期:
2019-07-05

文章信息/Info

Title:
Clinical effect study on the avulsion fracture of greater tubercle of humerus
文章编号:
DOI:10.3969/j.issn.1000-7377.2019.07.014
作者:
白东昱史永涛赵程锦周煜虎宗龙泽
延安大学附属医院骨科 (延安716000)
Author(s):
BAI DongyuSHI YongtaoZHAO Chengjinet al.
Department of Orthopedics,Affiliated Hospital of Yan’an University(Yan’an 716000)
关键词:
肱骨大结节撕脱性骨折内固定Neer评分临床治疗效果
Keywords:
Key words Humerus noduleAvulsion fractureInternal fixationNeer scoreClinical researchEffect
分类号:
R683.42
文献标志码:
A
摘要:
摘 要 目的:探讨内固定技术治疗肱骨大结节撕脱性骨折的临床疗效。方法: 选取65例患者,随机两组(接骨板内固定组和锚钉内固定组),分别给予接骨板固定手术和锚钉固定手术。结果:接骨板内固定组有效率86.6%,无复发,无不良反应。锚钉内固定组有效率77.2%,无复发,有2例不良反应。此外,接骨板内固定组和锚钉内固定组患者相比,肩关节疼痛与活动范围均有改善。结论:接骨板内固定手术方法在肱骨大结节撕脱性骨折的治疗上,与锚钉内固定方法相比,具有较高的安全性和显著的疗效。
Abstract:
Abstract Objective: To investigate the clinical effect of avulsion fracture of greater tubercle of humerus. We can provide a safety evaluation for further clinical application. Methods: 65 patients with avulsion fracture of greater tubercle of humeruswere enrolled in this study,which were treated with bone plate internal fixation and anchor internal fixation. The clinical efficacy of the two groups of patients were compared and analyzed. Results: After 1 months of treatment,the bone plate internal fixation of patients were improved better than that of anchor internal fixation. The clinical curative effect evaluation shows that bone plate internal fixation treatment effect was significantly better than anchor internal fixation. Conciusion: The detection of bone plate internal fixation has clinical significance in the diagnosisunder this experimental conditions.

参考文献/References:

[1] Bissell BT,Johnson RJ,Shafritz AB,et al.Epidemiologyand risk factors of humerus fractures among skiers and snow-boarders[J].Am J Sports Med,2008,36(10):1880-1888. [2] Norouzi M,Naderi MN,Komasi MH,et al.Clinical results of using the proximal hum eral internal locking system plate for internal fixation of displacedproximal humeral fractures[J].Am J Orthop(BelleM ead NJ),2012,41(5):64-68. [3] 曹烈虎,翁蔚宗,宋绍军,等.微创空心钉与切开复位钢板内固定治疗肱骨大结节骨折的疗效比较[J].中国修复重建外科杂志,2013,27(4):418-422. [4] Neer CS 2nd.Displaced proximal humeral fractures. I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089. [5] 王化齐,曹善友,张光祥,等. 解剖钢板内固定治疗老年肱骨外科颈粉碎性骨折48例分析[J].陕西医学杂志,2016,45(9):1203-1204. [6] 许国松,许 斌,陈伟义. 肱骨大结节骨折行肩关节镜下经皮空心钉固定治疗的临床疗效观察[J].中国实用医刊,2015,42(2):34-35. [7] 黄小俊,佘 刚,张文凯,等.加长PFNA-Ⅱ治疗老年股骨转子部粉碎性骨折疗效观察[J].陕西医学杂志,2016,45(10):1331. [8] 鲁亚君.新型肱骨近端翼式解剖钢板修复肱骨近端骨折:可有效降低肩峰撞击征发生[J].中国组织工程研究,2015,(13):2081-2085. [9] 秦 虎,王云华,何 斌,等. 星型钢板小切口治疗肱骨大结节骨折[J].中国微创外科杂志,2014,14(12):1119-1121. [10] 白建忠,侯 波,施慧峰,等.锁定钢板与普通钢板置入内固定修复肱骨近端骨折的预后对比[J].中国组织工程研究,2015,26:4213-4217.

备注/Memo

备注/Memo:
*陕西省教育厅专项科研计划项目(17JK0876)
更新日期/Last Update: 2019-07-12