摘要
目的联合TriGen交锁髓内钉观察肩外展架治疗肱骨近端骨折临床疗效。方法2020年1月~2021年1月本院收治的肱骨近端骨折病人55例,按照治疗方法不同分成两组,对照组26例,行TriGen交锁髓内钉治疗;研究组29例,行肩外展架联合TriGen交锁髓内钉治疗。比较复位评价结果、骨折临床愈合时间、骨折骨性愈合时间、Constant-Murley肩关节功能评分、随访1年肩关节活动度。结果研究组复位评价结果优于对照组,骨折临床愈合时间短于对照组,骨折骨性愈合时间短于对照组,差异有统计学意义(P<0.05)。术后1年,对照组、研究组Constant-Murley肩关节功能评分均高于术后1个月,差异有统计学意义(P<0.05),术后1年,研究组Constant-Murley肩关节功能评分较对照组比较差异无统计学意义(P>0.05)。随访1年,两组前屈上举、外旋、外展活动度比较,差异均无统计学意义(P>0.05)。结论联合TriGen交锁髓内钉联合肩外展架有利肱骨近端骨折复位,缩短骨折临床愈合时间、骨折骨性愈合时间,且利于改善早期肩关节功能、活动度。
Objective To observe the clinical effect of shoulder abduction brace combined with trigen interlocking intramedullary nail in the treatment of proximal humeral fractures.Methods 55 patients with proximal humeral fractures treated in our hospital from January 2020 to January 2021 were divided into two groups according to different treatment schemes.The control group:26 patients were treated with trigen interlocking intramedullary nail.Study Group:29 cases were treated with shoulder abduction brace combined with trigen interlocking intramedullary nail.The results of reduction evaluation,clinical healing time of fracture,bone healing time of fracture,constant Murley shoulder function score and shoulder range of motion were compared.Results The reduction assessment of the study group were significantly better than those of the control group.The clinical healing time of fracture in the study group was shorter than that in the control group,and the bone healing time of fracture was shorter than that in the control group(P<0.05).One year after operation,the constant Murley shoulder function score of the control group and the study group were were higher than 1 month after surgery(P<0.05).One year after operation,the constant Murley shoulder function score of the study group was not significantly different from that of the control group(P>0.05).Following up for 1 year,there was no significant difference between the two groups in the activities of flexion and lifting,external rotation and abduction(P>0.05).Conclusion The shoulder abduction brace combined with trigen interlocking intramedullary nail is conducive to the reduction of proximal humeral fractures,shorten the clinical healing time and bone healing time of fractures,and it is conducive to improving the early shoulder joint function and range of motion.
作者
严凤翔
YAN Fengxiang(Department of No.3 Orthopaedics,Jingzhou Hospital Affiliatedto Yangtze University,Hubei,Jingzhou 434020,China)
出处
《临床外科杂志》
2023年第4期330-333,共4页
Journal of Clinical Surgery
关键词
肩外展架
TriGen交锁髓内钉
肱骨近端骨折
临床疗效
shoulder abduction brace
Trigen interlocking intramedullary nail
fracture of proximal humerus
clinical efficacy
