[1]赵晨,商培洋,车凌宾,等.锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的疗效分析[J].中华老年骨科与康复电子杂志,2015,(01):22-27.
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锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的疗效分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2015年01期
页码:
22-27
栏目:
骨与创伤
出版日期:
2015-08-05

文章信息/Info

作者:
赵晨商培洋车凌宾叶庭均庄澄宇王蕾
上海交通大学医学院附属瑞金医院骨科1;上海市伤骨科研究所2
关键词:
骨折固定术肱骨骨折老年人肩袖
摘要:
目的 探讨、分析锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的临床效果。方法 回顾性分析2012 年1 月至2013 年3 月采用锁定钢板治疗的老年肱骨近端骨折合并肩袖撕裂患者22 例,男8 例,女14 例,年龄61 ~ 76 岁,平均(66.7±4.3)岁。术中复位骨折块后采用锁定钢板进行固定,同时使用缝线缝合修复撕裂的肩袖组织。分别在术前、末次随访时对患者进行臂、肩、手功能障碍(disabilities of the arm,shoulder and hand,DASH)上肢功能评分,并在末次随访时采用Neer 肩关节功能评分标准进行临床疗效的评估。结果 22 例患者均获得成功随访,随访时间为25 ~ 32 个月,平均(28.3±1.8)个月。末次随访时,患者平均DASH 评分由术前的(132.4±5.7)分改善至(46.4±3.8)分,差异具有统计学意义(t=78.368,P < 0.05);Neer 百分制评分结果,优10 例、良9 例、可3 例、差0 例,优良率达86.4%(19/22)。所有患者均未发现术中和术后并发症。结论 锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂可获得较满意的临床疗效,具有术后并发症少、肩关节功能效果恢复好等优点。

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备注/Memo

备注/Memo:
上海市卫生和计划生育委员会重点项目(2014426)
更新日期/Last Update: 2015-08-05