肱骨多段粉碎性骨折微创接骨板技术的临床应用

APPLICATION AND THERAPEUTIC EFFECT OF MINIMALLY INVASIVE BONE PLATE TECHNIQUE IN THE TREATMENT OF MULTI-SEGMENT COMMINUTED FRACTURE OF THE HUMERUS

目的探讨微创接骨板技术治疗肱骨多段粉碎性骨折的疗效。方法采用肱骨全长微创接骨板技术治疗24例肱骨多段粉碎性骨折,记录患者手术时间、术中出血量、平均住院时间、骨折愈合时间、肩肘关节功能评分。结果手术时间为120~160(146.5)min,术中出血量150~320(230.3)mL。住院时间12~24(18.7)d。所有患者均获得完整随访。骨折愈合时间为15~24(18.5)周。肩关节功能评分:优17例、良6例、可1例,差0例,优良率达95.8%;肘关节功能评分:优20例、良3例、可1例、差0例,优良率达95.8%。结论微创接骨板技术是治疗肱骨多段粉碎性骨折的较好方法,组织剥离少、创伤小,手术时间短、术后肿痛轻、骨折愈合快,具有明显的临床效益及社会效益。

Objective:To investigate the effect of minimally invasive bone plate technique in the treatment of multi-segment comminuted fracture of the humerus.Methods:Twenty-four patients with comminuted humeral fractures were treated with minimally invasive bone plate technique.The operation time,intraoperative blood loss,average hospital stay,fracture healing time,and shoulder and elbow joint function scores were recorded.Results:The operation time was 120~160(146.5)min,and the intraoperative blood loss was 150~320(230.3)mL.The hospital stay was 12 to 24(18.7)days.All patients had a complete follow-up.The fracture healing time was 15 to 24(18.5)weeks.Shoulder joint function score:excellent in 17 cases,good in 6 cases,fair in 1 case,poor in 0 cases,with excellent rate of 95.8%;elbow joint function score:excellent in 20 cases,good in 3 cases,fair in 1 case,poor in 0 cases,with excellent and good rate up to 95.8%.Conclusion:Minimally invasive bone plate technique is a good method for the treatment of multi-segment comminuted fractures of the humerus.It has less tissue exfoliation,less trauma,short operation time,less postoperative swelling and pain,and faster fracture healing.And it has obvious clinical and social benefits.