外固定架配合下应用MIPPO技术治疗肱骨干粉碎性骨折

Coordination with the application of external fixator in the treatment of humeral shaft fractures MIPPO

目的:探讨外固定架配合下应用MIPPO技术治疗肱骨干粉碎性骨折的临床疗效。方法:回顾性分析肱骨干粉碎性骨折15例患者,骨折根据AO分型,其中:B型9例,C型6例,利用单边万向外固定支架的临时固定作用结合MIPPO技术使用LCP内固定进行治疗,从手术情况、并发症、骨折愈合及功能评价等方面进行疗效评价。结果:本组病例手术时间为60～120min,平均90min,术中出血100～200ml。15例均获得随访,随访时间为6～16个月,平均10个月,随访结束时均获得骨性愈合。有1例出现桡神经症状,3个月后自行恢复,未出现肩关节及肘关节功能障碍和关节及骨折处疼痛,所有患者均恢复正常生活,患者主观满意率93%。结论:这种手术方法固定可靠,术中血运破坏少,出血量少,术后并发症少,是治疗肱骨中段及中上段粉碎性骨折的一种有效方法。

Objective To explore the clinical efficacy of the application of MIPPO techniques cooperation with external fixator treatment of comminuted fracture of humeral shaft.Methods 15 cases comminuted fracture of humeral shaft were treated,according to AO classification,which B-type in 9 cases,C-type in 6 cases.There were treated with MIPPO techniques use of temporary fixation of external fixator combined practical LCP fixation techniques .TO evaluate efficacy from in areas such as of the surgeries,complications,fracture healing,functional.Results The patients operative time was 60 and 120 minutes,90 minutes on average ,blood loss was 100 and 200 ml,15 cases were followed-up with time of 6 and 16 months,10 months on average.All the fractures of patients were healed.There was a case of radial nerve symptoms occur and restore with its own three months later.None of all with the shoulder joint and elbow joint dysfunction occurs,None of all occurred joints with pain,All patients return to normal life,93% satisfaction rate in patients with subjective.Conclusion This surgical method is an effective therapy in curing comminuted fracture of humeral shaft with the advantages of less bleeding,the treatment of in a reliable way.and less complications.