锁定加压型钢板系统治疗肱骨近端骨折的临床探究.pdfVIP

提 要 目的：探讨应用锁定加压型钢板系统治疗肱骨近端骨折的临床疗效。 方法：收集近两年（2010 年 2 月～2012 年 2 月）山东中医药大学附属医院骨科 收住院的肱骨近端骨折（二、三、四部分骨折）并行锁定加压型钢板治疗的患者 36 例。所有病例术后都进行系统的早期、少量次数、渐进式的康复训练。术后通过门诊、 电话、信件等方式对病例进行 6 个月随访，并根据国际 NEER 评分标准来评定肩关节 功能恢复情况。 结果:在手术后第 6 个月末，36 例患者进行肩关节功能 NEER 评分。其中治疗效 果优17例，良16例，不满意2例，失败1例，优良率91.67％。 结论：在严格掌握手术适应症及科学、准确操作的基础上，肱骨近端骨折应用锁 定加压型钢板进行内固定治疗，术后肩关节行系统的早期、少量次数、渐进式的康复 训练是一种有效的治疗方法。 关键词 肱骨近端骨折；手术；锁定加压型钢板；康复训练 The clinical research for systematical using the locking compression plate to treat the fracture of proximal of humeral shaft. specialty:Orthopedics of TCM Author:Qin Dong Tutor:Prof.Zhang Junzhong Abstract Objective:To investigate the curative effect for the PHILOS and functional exercise used to treat the fracture of proximal of humeral shaft. Method:Collection the patients who have fracture of proximal of humeral shaft(two, three, four-part fractures) and received to the affiliated hospital of Shandong University of Traditional Chinese Medicine in the last two years (from February,2010 to February,2012 ).And the AO locking compression plate were used in the treatment of these patients.Then all these patients used the way that require early 、single-arm and advance gradually span to training after operation . Postoperative investigation was made in the way of clinic, telephone, mail, etc.All cases were follow-up for 6 months, and the results of the shoulder joint function were assessed in accordance with the international NEER score. Result:At the end of the 6 month,all the 36 patients were used the NEER score to , assess shoulder s function.There are 17 excellent individual，16 favorable individual，2 no-satisfied individual and only one failed instance. The rate of fine result is 91.67 ％. Conclus