| 刘圣凯,袁 志,李 岩,郑天雷,张肖在,强 磊.肱骨大结节锁定板与空心螺钉固定治疗肱骨大结节撕脱骨折的疗效比较[J].,2018,(22):4325-4329 |
| 肱骨大结节锁定板与空心螺钉固定治疗肱骨大结节撕脱骨折的疗效比较 |
| Comparison of Effectiveness between Humeral Greater Tuberosity Locking Plate and Screws in Treatment of Humeral Greater Tuberosity Fracture |
| 投稿时间：2018-06-14 修订日期：2018-07-09 |
| DOI：10.13241/j.cnki.pmb.2018.22.028 |
| 中文关键词: 肱骨大结节骨折 内固定术 接骨板 |
| 英文关键词: Humeral greater tuberosity fracture Internal fixation Plate |
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| 中文摘要: |
| 摘要 目的：比较采用肱骨大结节锁定板与空心螺钉内固定治疗肱骨大结节撕脱骨折的疗效。方法：回顾性分析自2011.01—2017.07诊治的24例肱骨大结节撕脱骨折。根据内固定方式不同分为2组：采用肱骨大结节锁定板治疗14例（A组），采用空心钉治疗10例（B组）。比较分析2组手术时间、术中出血量、平均住院日、切口长度、骨折愈合时间、Constant肩关节功能评分以及术后并发症情况来进行评价。结果：A组（肱骨大结节锁定板）的术中出血量大于B组（空心螺钉），术后3月肩关节功能评分较B组优，最终肩关节功能评分无差异；在住院日、手术时间、切口长度、骨折愈合时间方面，两组没有明显差异。在内固定失效、骨折移位等并发症方面，B组比A组高。结论：对于肱骨大结节骨折，肱骨大结节锁定板比空心螺钉更有优势。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the effectiveness of humeral greater tuberosity locking plate and cancellous screws in treatment of humeral greater tuberosity fracture. Methods: The clinical data wew retrospectively analyzed and compared from24 cases with humeral greater tuberosity fracture between January 2011 and July 2017. All the patients were divided into 2 group: 14 patents were treated with humeral greater tuberosity locking plate (A group) and 10 with cancellous screws (B group). The outcome was assessed in terms of operative time, intraoperative blood loss, hospital stay, union time, union rate, Constant score and complication. Results: The intraoperative blood loss were found to be significantly lower for B group compared with A group. The Constant score after 3 months were found to be higher for A group compared with B group. No statistically significant difference was found regarding the union rate, hospital stay, final functional outcome between two groups. The incidence of complications such as internal fixation failure and fracture displacement were found to be higher with B group compared with A group. Conclusion: The humeral greater tuberosity locking plate can be considered a better surgical option for the management of humeral greater tuberosity fracture. |
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