复杂肱骨近端骨折的手术治疗进展

Research Progress of Surgical Treatment of Complex Proximal Humerus Fractures

对于复杂肱骨近端骨折,保守治疗通常难以获得满意的肩关节功能和生活质量,往往需要手术治疗。随着髓内钉、锁定加压钢板等内固定器械的改进以及肩关节置换技术的日益成熟,手术治疗该类骨折疗效显著,但仍然存在一定的术后并发症。最佳术式、手术入路以及植骨形式等尚存争议。治疗时应根据患者骨折类型、骨质条件、全身状况及功能期望的不同,采用个体化的手术方案。

Complex proximal humeral fractures often require surgery, since satisfactory shoulder function and life quality are often difficult to be obtained by conservative treatment. With the improvement of internal fixation devices such as the intramedullary nail and the locking compression plate, as well as the maturation of shoulder replacement techniques, surgical treatment for such fractures has constant significant effect now, but there are still some postoperative complications. The best surgical methods, surgical approach and the forms of bone implants are still controversial. Treatment should be individually chosen by the type of fracture, bone density,physical condition and expectations for function.