双反牵引复位器联合MIPO技术治疗肱骨近端骨折的初步应用-中华老年骨科与康复电子杂志

文章信息/Info

Title:: Preliminary study of double reverse traction repositor combined with MIPO technique in the treatment of proximal humeral fractures

作者:: 赵阔1-4; 王忠正1-4; 王宇钏1-4; 张浚哲1-4; 郭家良1-4; 郑占乐1-4; 陈伟1-4; 张英泽1-5; 050051 石家庄，河北医科大学第三医院创伤急救中心1，河北省骨科研究所2，河北省骨科生物力学重点实验室3，国家卫生健康委骨科智能器材重点实验室4；100088 北京，中国工程院5

Author(s):: Zhao Kuo1; 2; 3; 4; Wang Zhongzheng1; 2; 3; 4; Wang Yuchuan1; 2; 3; 4; Zhang Junzhe1; 2; 3; 4; Guo Jiangliang1; 2; 3; 4; Zheng Zhanle1; 2; 3; 4; Chen Wei1; 2; 3; 4; Zhang Yingze1; 2; 3; 4; 5; 1Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, 2Orthopedic Research Institution of Hebei Province, 3Key Laboratory of Biomechanics of Hebei Province, 4NHC Key Laboratory of Intelligent Orthopaedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang 050051, China; 5Chinese Academy of Engineering, Beijing 10088, China

Keywords:: Proximal humeral fractures; Homeopathic reduction fixation theory; Double reverse traction repositor; MIPO technique

摘要:: 肱骨近端骨折约占成人骨折的3.5%～5%，占成人肱骨骨折的59.93%，其中60岁以上患者占比约为40.39%。随着社会老龄化的加剧，其发生率将逐年增高。对于明显移位或复位后不稳定的肱骨近端骨折，手术治疗是首选治疗方式。接骨板固定是肱骨近端骨折最常见的治疗方式之一，适用于绝大部分肱骨近端骨折。其中，经皮微创钢板内固定（MIPO）技术已成为肱骨近端骨折的治疗热点。然而，MIPO技术治疗肱骨近端骨折的难点在于如何获得理想的骨折复位。目前仍缺乏高效的可用于MIPO技术治疗肱骨近端骨折的牵引设备。本团队率先提出双反牵引复位器联合MIPO技术治疗肱骨近端骨折，并获得良好的临床应用，现总结如下，以期促进肱骨近端骨折的微创治疗。

Abstract:: Proximal humeral fractures account for 3.5%-5% of all adult fractures and 59.93% of adult humeral fractures, of which patients aged over 60 years old account for 40.39%. With the aggravation of social population aging, its incidence will increase gradually. For unstable fractures or fractures withobvious displacement,surgical treatment is the primary choice. Plate osteosynthesis is one of the most common treatment methods for proximal humeral fractures, which is suitable for most proximal humeral fractures. Among them, minimally invasive plate osteosynthesis (MIPO) has become a hot spot in the treatment of proximal humeral fractures. However, the key point of MIPO in the treatment of proximal humeral fractures is how to obtain ideal fracture reduction. At present, rare efficient traction equipments for MIPO technology in the treatment of proximal humeral fractures are existed. This studyfirst proposed the application of double reverse traction repositor combined with MIPO technology in the treatment of proximal humeral fractures, and excellent clinical outcomes were observed in all patients. In order to promote the minimally invasive treatment of proximal humeral fractures, the new strategy is summarized as follows.