目的探讨经前外侧入路旋转支撑接骨板治疗胫骨后外侧平台骨折的手术方式及疗效。方法回顾性分析2016年5月至2017年9月,采用前外侧入路经上胫腓关节间隙复位、旋转支撑接骨板固定治疗10例胫骨后外侧平台骨折患者资料,男6例,女4例;年龄23...目的探讨经前外侧入路旋转支撑接骨板治疗胫骨后外侧平台骨折的手术方式及疗效。方法回顾性分析2016年5月至2017年9月,采用前外侧入路经上胫腓关节间隙复位、旋转支撑接骨板固定治疗10例胫骨后外侧平台骨折患者资料,男6例,女4例;年龄23~66岁,平均46.2岁;均为闭合性骨折;坠落伤5例,交通伤4例,摔伤1例。按AO-OTA分型:41-B2型1例,41-B3型8例,41-C3型1例;按Schatzker胫骨平台骨折分型:Ⅱ型6例,Ⅲ型1例,Ⅴ型2例,Ⅵ型1例;其中4例合并其他部位骨折(1例合并骨盆骨折、同侧股骨干、内踝骨折,1例合并同侧胫腓骨骨折,1例合并同侧腓骨头和股骨内上髁骨折,1例合并同侧腓骨头骨折)。术后系统随访并记录骨折愈合情况、并发症、膝关节活动度,末次随访时采用美国特种外科医院(Hospital for Special Surgery,HSS)评分标准评价膝关节功能。结果 10例患者均获得随访,随访时间12~27个月,平均15.25个月;骨折全部获得愈合,愈合时间3.0~4.5个月,平均3.2个月。末次随访时,患者膝关节活动度105°~161.4°,平均膝关节活动度139.9°;HSS膝关节功能评分为64~98分,平均88分,其中优8例,可2例,优良率为80%(8/10);无一例发生皮肤坏死、感染、内固定物松动、断裂、骨折复位丢失等并发症。结论经前外侧入路旋转支撑接骨板治疗胫骨后外侧平台骨折固定牢固可靠,术后膝关节功能恢复满意,且手术操作简单,组织损伤小。展开更多
Background Although the use of an intramedullary fibular allograft together with locking plate fixation can provide additional medial support and prevent varus malalignment in displaced proximal humeral fractures with...Background Although the use of an intramedullary fibular allograft together with locking plate fixation can provide additional medial support and prevent varus malalignment in displaced proximal humeral fractures with promising results,the fibular autograft donor site often sustains significant trauma and cannot restore the articular surface of comminuted fractures.The aim of this study was to evaluate the clinical and radiographic outcomes of a locking plate and crest bone autologous graft for treating proximal humerus comminuted fractures.Methods We assessed the functional outcomes and complication rates in 40 patients with proximal humerus comminuted fractures.Eighteen patients were treated with a locking plate and an autologous crest bone graft (experimental group),and 22 were treated with only the locking plate and no bone graft (control group).Postoperative assessments included radiographic imaging,range of motion analysis,pain level based on the visual analogue scale (VAS),and the SF-36 (Short Form (36) Health Survey),as well as whether patients could retum to their previous occupation.Results All fractures healed both clinically and radiologically in the experimental group.There was no more than 2 mm collapse of the humeral head,and no osteonecrosis or screw penetration of the articular surface.In contrast,two patients had a nonunion in the control group,and they eventually accepted total shoulder replacements.The average time from surgery to radiographic union was significantly shorter in the experimental group ((4.66±1.63) months) compared with the control group ((5.98±1.57) months) (P <0.05).For the experimental versus controls groups,the mean shoulder active flexion (148.00±18.59 vs.121.73±17.20) degrees,extension (49.00±2.22 vs.42.06±2.06) degrees,internal rotation (45.00±5.61 vs.35.00±3.55)degrees,external rotation (64.00±9.17 vs.52.14±5.73)degrees,and abduction (138.00±28.78 vs.105.95±15.66) degrees were all significantly higher (all P <0.001).The median SF-36 in the experimental group ((88.00±5.71) points) was significantly higher than that of the control group ((69.45±9.45) points; P <0.001).The median VAS pain level (mean rank,10.50) in the experimental group was lower than that (mean rank,47.19) of the control group (P <0.001).All but one patient (17 of 18,94.4%) in the experimental group returned to their previous activities or occupations,and that one patient changed to a different occupation because of slight restrictions to activities.On the other hand,four patients could not return to their previous activities or occupations in the control group.Conclusion Locking plate fixation combined with an iliac crest bone graft is an effective technique for treating proximal humerus comminuted fractures.展开更多
文摘目的探讨经前外侧入路旋转支撑接骨板治疗胫骨后外侧平台骨折的手术方式及疗效。方法回顾性分析2016年5月至2017年9月,采用前外侧入路经上胫腓关节间隙复位、旋转支撑接骨板固定治疗10例胫骨后外侧平台骨折患者资料,男6例,女4例;年龄23~66岁,平均46.2岁;均为闭合性骨折;坠落伤5例,交通伤4例,摔伤1例。按AO-OTA分型:41-B2型1例,41-B3型8例,41-C3型1例;按Schatzker胫骨平台骨折分型:Ⅱ型6例,Ⅲ型1例,Ⅴ型2例,Ⅵ型1例;其中4例合并其他部位骨折(1例合并骨盆骨折、同侧股骨干、内踝骨折,1例合并同侧胫腓骨骨折,1例合并同侧腓骨头和股骨内上髁骨折,1例合并同侧腓骨头骨折)。术后系统随访并记录骨折愈合情况、并发症、膝关节活动度,末次随访时采用美国特种外科医院(Hospital for Special Surgery,HSS)评分标准评价膝关节功能。结果 10例患者均获得随访,随访时间12~27个月,平均15.25个月;骨折全部获得愈合,愈合时间3.0~4.5个月,平均3.2个月。末次随访时,患者膝关节活动度105°~161.4°,平均膝关节活动度139.9°;HSS膝关节功能评分为64~98分,平均88分,其中优8例,可2例,优良率为80%(8/10);无一例发生皮肤坏死、感染、内固定物松动、断裂、骨折复位丢失等并发症。结论经前外侧入路旋转支撑接骨板治疗胫骨后外侧平台骨折固定牢固可靠,术后膝关节功能恢复满意,且手术操作简单,组织损伤小。
文摘Background Although the use of an intramedullary fibular allograft together with locking plate fixation can provide additional medial support and prevent varus malalignment in displaced proximal humeral fractures with promising results,the fibular autograft donor site often sustains significant trauma and cannot restore the articular surface of comminuted fractures.The aim of this study was to evaluate the clinical and radiographic outcomes of a locking plate and crest bone autologous graft for treating proximal humerus comminuted fractures.Methods We assessed the functional outcomes and complication rates in 40 patients with proximal humerus comminuted fractures.Eighteen patients were treated with a locking plate and an autologous crest bone graft (experimental group),and 22 were treated with only the locking plate and no bone graft (control group).Postoperative assessments included radiographic imaging,range of motion analysis,pain level based on the visual analogue scale (VAS),and the SF-36 (Short Form (36) Health Survey),as well as whether patients could retum to their previous occupation.Results All fractures healed both clinically and radiologically in the experimental group.There was no more than 2 mm collapse of the humeral head,and no osteonecrosis or screw penetration of the articular surface.In contrast,two patients had a nonunion in the control group,and they eventually accepted total shoulder replacements.The average time from surgery to radiographic union was significantly shorter in the experimental group ((4.66±1.63) months) compared with the control group ((5.98±1.57) months) (P <0.05).For the experimental versus controls groups,the mean shoulder active flexion (148.00±18.59 vs.121.73±17.20) degrees,extension (49.00±2.22 vs.42.06±2.06) degrees,internal rotation (45.00±5.61 vs.35.00±3.55)degrees,external rotation (64.00±9.17 vs.52.14±5.73)degrees,and abduction (138.00±28.78 vs.105.95±15.66) degrees were all significantly higher (all P <0.001).The median SF-36 in the experimental group ((88.00±5.71) points) was significantly higher than that of the control group ((69.45±9.45) points; P <0.001).The median VAS pain level (mean rank,10.50) in the experimental group was lower than that (mean rank,47.19) of the control group (P <0.001).All but one patient (17 of 18,94.4%) in the experimental group returned to their previous activities or occupations,and that one patient changed to a different occupation because of slight restrictions to activities.On the other hand,four patients could not return to their previous activities or occupations in the control group.Conclusion Locking plate fixation combined with an iliac crest bone graft is an effective technique for treating proximal humerus comminuted fractures.