不同内固定方法治疗移位肱骨大结节骨折的疗效分析

Clinical effects of different internal fixation methods for displaced large tuberosity fractures of humerus

目的：比较分析不同内固定方法治疗移位肱骨大结节骨折的临床效果.方法：对86例在我院接受治疗的移位肱骨大结节骨折患者临床资料进行回顾性分析,根据内固定方法将其分为A组（空心螺钉,27例）,B组（克氏针张力带,17例）,C组（肱骨近端锁定钢板,22例）及D组（带线锚钉,20例）.比较4组患者治疗效果.结果：86例患者均顺利完成手术,其中A组手术时间、骨折愈合时间及术中出血量明显短于和少于其他3组（P〈0.05）.术后第6个月比较4组患者治疗优良率,结果显示A组优良率最高,其次为C组和D组,B组最低（P〈0.05）.结论：空心螺钉、克氏针张力带、锁定钢板及带线锚钉4种内固定物均可用于移位肱骨大结节骨折的治疗中,具有不同的优缺点,其中空心螺钉和锁定钢板治疗效果更为显著.

Objective： To compare and analyze the clinical effects of different internal fixation methods for displaced large tuberosity fractures of humerus. Methods： the clinical data of 86 cases of displaced large tuberosity fracture of humerus treated in our hospital were analyzed retrospectively, which will be divided into group A （hollow screw, 27 cases）, B group （kirschnerswire, 17）, C group （proxi- mal humeral locking plate, 22 cases） and D group （suture anchors, 20 cases）, according to the method of internal fixation. The thera- peutic effects of the four groups were compared. Results： all the 86 patients completed the operation successfully, the operation time, the fracture healing time and intraoperative bleeding volume of group A were shorter than and less than those of the other 3 groups （ P 〈 0. 05）. The excellent rates of A group was the highest, followed by the C group and D group, B group was the lowest （P 〈 0.05 ）. Conclusion： hollow screws, Kirschner wire tension bands, locking plates and band anchors could be used in the treatment of displaced fractures of large tuberosity of humerus, the four implants have different advantages and disadvantages, which hollow screws and locking plates were more effective.