应用MIPPO技术PHILOS接骨板治疗肱骨近端骨折

Minimally invasive percutaneous plate osteosynthesis for treatment of proximal humerus fractures with PHILOS plate

目的探讨采用微创经皮钢板内固定技术(MIPPO)PHILOS接骨板治疗肱骨近端骨折的疗效。方法 2008年1月～2009年7月间对22例肱骨近端骨折采用MIPPO技术用PHILOS接骨板内固定治疗。根据NEER分类,二部分骨折7例,三部分骨折12例,四部分骨折3例。结果本组患者均获随访,随访时间6～12个月,平均10个月。本组病例优9例,良10例,可3例,总优良率为86.4%。结论采用MIPPO技术应用PHILOS接骨板治疗肱骨近端骨折,具有创伤小、固定牢固、能够早期功能锻炼的优点,可以达到良好的疗效。

Objective To investigate the effect of minimally invasive percutaneous plate osteosynthesis（MIPPO） for treatment of proximal humerus fractures with PHILOS plate.Methods From January 2008 to July 2009,22 cases of proximal humerus fractures were treated with MIPPO with PHILOS plate.According to Neer classification,7 cases had two-part fractures,12 had three-part fractures,and 3 had four-part fractures.Results All the 22 cases were followed up ranging from 6 to 12 months with an average of 10 months.The functional results of the shoulder,according to Neer scores,were classified as excellent in 9 cases,good in 10 cases and fair in 3 cases,with an average score was 86.4%.Conclusion PHILOS using MIPPO shows good results for treating proximal humerus fractures.