肱骨三叶钢板治疗中青年肱骨大结节骨折

The clinical study on treatment of fractures with cloverleaf plates for humnerus.

目的：探讨应用肱骨三叶钢板治疗中青年肱骨大结节骨折的疗效。方法：自2004年10月～2007年12月采用三角肌、胸大肌间隙入路行肱骨三叶钢板治疗中青年肱骨大结节骨折14例，男10例，女4例，年龄24～48岁，平均36岁。合并肩关节脱住2例，外科颈骨折5例。全部为新鲜骨折．术后采用外展架固定，第二天拔除引流管，并开始肩部肌肉收缩锻炼，1周后开始耸肩功能锻炼，6周后停止外展架固定，进行主动功能锻炼。结果：手术时间60～80min，平均70min，出血量在350～400ml，术后随访6～36个月，平均146个月，所有患者均无感染、神经损伤、关节不稳、复发脱位、肩袖肌无力、肩峰下撞击等并发症。按照肩关节Neer评定系统，所有患者均为优秀。结论：肱骨三叶钢板是治疗肱骨大结节骨折较满意的方法，术后功能恢复好，未发现明显并发症。

Objective：Aim Study the curative effect of applying cloverleaf plates for humerus to treat the fracture of midlife and the youth. The method has been successfully used to cure fourteen people, from the age 24 to 48 ,including 10 men and 4 women, and the mean age is36. Two were dislocation of shoulder, five were neck fracture, all of them were fresh fracture. After the operation, fasten it and the second day pull out the incluced draft, and at the same time begin to practice. A week later, the shoulder,s function can recover. Six weeks later, stop the fixcation and begin to practice the active exercises function. Result： The time of operation is about 60 - 80 minutes, the average time is 70 minutes, and the amount of bleeding is about 350 -400ml. The time of follow - up survey is about 6 - 36months, the average is 14.6months. All sufferers have no infection, never damage and other complication. According to the shoulder joint Neer System, all the sufferers are well. Conclusion ： The method of cloverleaf plates for humerus is a well - pleasing method ; the recover of operation is good, and there is no obvious complication.