经皮微创锁定钢板内固定术对肱骨近段粉碎性骨折术后愈合及功能恢复的影响

Influence of minimally invasive percutaneous plate psteosynthesis on postoperative healing and functional recovery of patients with comminuted fracture of proximal end of humerus

目的探讨经皮微创锁定钢板内固定术(MIPPO)对肱骨近段粉碎性骨折术后愈合及功能恢复的影响。方法分析本院收治的58例肱骨近段粉碎性骨折患者的临床资料。结果 58例患者手术切口均Ⅰ期愈合,平均住院时间(16.35±2.71)d,骨折部位完全愈合55例,平均愈合时间(13.53±2.64)周,3例患者X线检查未见骨痂生长;功能恢复情况,根据Neer评分进行评定,满分为100分,平均得分为(85.44±10.95)。不同骨折分型愈合时间及功能恢复情况比较,Ⅱ型较Ⅲ型患者无明显差异(P<0.05),Ⅳ型较Ⅱ型、Ⅲ型患者愈合时间有明显延长(P<0.05),功能恢复得分明显减少(P<0.05)。结论经皮微创锁定钢板内固定术对肱骨近段粉碎性骨折术后愈合及功能恢复具有较好效果,其中对于Ⅱ型、Ⅲ型骨折患者明显好于Ⅳ型。

Objective To explore the influence of minimally invasive percutaneous plate psteosynthesis on the postoperative healing and functional recovery of patients with comminuted fracture of proximal end of humerus. Methods Clinical materials of 58 patients with comminuted fracture of proximal end of humerus were analyzed. Results Incision of 58 cases were stage Ⅰ heal,the average length of hospital stay was（ 16. 35 ± 2. 71） days,fracture healed completely in 55 cases,the average healing time was（ 13. 53 ± 2. 64） weeks. 3 patients＇ X- rays showed there was no callus growth. According to Neer scores（ 100 point scale）,the average score of function recovery was（ 85.44 ± 10. 95）. Different fracture fractal function recovery time and the comparison of type II patients with type Ⅲ had no obvious difference（ P〈 0. 05）. Conclusion MIPPO has a quite good cure effect on the patient with comminuted fracture of proximal end of humerus. For type Ⅱ and type Ⅲfracture patients,the efficacy was obviously better than that of type Ⅳ patients.