肱骨近端锁定加压接骨板配合中药熏蒸治疗复杂肱骨近端骨折

The humerus near-end locking compression will set a broken bone board coordination Chinese native medicine fumigation treatment complex humerus near-end bone fracture

目的：探讨肱骨近端锁定加压接骨板（locking comprassion plate LCP）治疗复杂肱骨近端骨折的临床疗效.方法： 经切开复位应用AO锁定加压接骨板配合中药熏蒸治疗肱骨近端骨折37例.按Neer分类法,Ⅲ型骨折22例、Ⅳ型骨折15例.结果： 36例获3～25个月随访,平均随访时间13个月,所有病例均获骨性愈合,采用Neer功能评价标准,其中优19例、良15例、可2例、差1例,优良率为91.9%.结论： LCP具有手术操作简单、固定牢固可靠、术后并发症少、骨折愈合率高等优点,并且对骨和软组织损伤小,可使患肩早期安全活动,可早期进行肩关节功能锻炼,中药熏蒸治疗可以有效促进骨质愈合,避免关节僵硬,减轻肩关节术后粘连,获得满意的治疗效果,是治疗肱骨近端复杂骨折的理想方法.

Objective： The discussion humerus near--end locking compression sets a broken bone the board （locking eomprassion plate LCP） to treat the complex humerus near--end bone fracture the clinical curative effect. Methods： Sets a broken bone the board coordination Chinese native medicine fumigation treatment humerus near--end bone fracture 37 examples after the incision replacement using the AO locking compression. According to Neer classification, [l] Bone fracture 22 examples, IV Bone fracture 15 examples. Results..36 examples attain 3~ 25 month revisits, the average revisit time 13 months, all case of illness attain the osseous to heal, uses the Neer function evaluatiota criteria,in which superior 19 examples, the good 15 examples,may 2 examples, the difference 1 example, fine rate is 91.9 %. Conclusion：After LCP has the surgery to operate simply, fixed reliable reliable, the technique the com plication few, the bone fracture recovery rate higher merit, and damages slightly to the bone and the soft tissue, may cause the trouble shoulder early time safety campaign, but the early time carries on the shoulder joint function exercise, the Chinese native medicine fumigation treatment may promote the osscin to heal effectively,avoids the anchylosis,after reduces the shoulder joint technique the adhesion,obtains satisfaction the treatment result,is treats the humerus near--end compound fracture the ideal method.