MIAPO技术治疗肱骨干中段粉碎性骨折的临床观察

Clinical observation of MIAPO technique for middle humerus comminuted fracture

目的 探讨采用微创前置钢板固定（MIAPO）技术治疗肱骨干中段粉碎性骨折的可行性和临床效果。方法2008年9月～2014年4月，对38例肱骨干中段粉碎性骨折采用LCP肱骨前方入路、前侧置入内固定治疗，并观察其疗效。结果本组38例伤口均一期愈合，全部获得随访，随访时间8-70个月，平均26个月。复查x线片示骨折对位对线良好，骨痂出现时间4-10周，平均7周。近期随访肩肘关节功能正常。结论采用MIAPo技术LcP内固定治疗肱骨干中段粉碎性骨折不仅创伤小、术中出血少、术后恢复快，可更快地达到骨性愈合，获得良好的肩肘功能，且具有不显露桡神经和减少医源性桡神经损伤的优点，是治疗肱骨干中段粉碎性骨折的有效方法。

Objective To discuss the feasibility and clinical effect of MIAPO technique for middle humerus comminuted fracture. Methods From September 2008 to April 2014, 38 cases with middle humerus comminuted fracture were treated by internal fixation and anterior implant of LCP, through anterior approach of humerus. Results 38 cases of incision obtained primary heating, all cases had been followed up for 8-70 months, average of 26 mouths. X-ray showed good fracture alignment, callus emerges 4-10 weeks later, average of 26 months, shoulder and elbow function was normal in recent follow up. Conclusion MIAPO technique of LCP internal fixation for middle humeru comminuted fracture can not only obtain litde trauma, little bleeding during operation, rapid restore, as to obtain rapid osteal healing, good shoulder and elbow function, but can have reduce the incidence of side effect trauma to radial nerve,and needn＇t appear radial nerve, it is an effective therapy for middle humerus comminuted fracture.