垂直双钢板治疗肱骨干骨折不愈合近期疗效分析

摘要

目的:探讨垂直双钢板治疗肱骨干骨折不愈合的近期疗效.方法:回顾性分析采用垂直双钢板治疗的19例肱骨干骨折不愈合患者资料.记录患者基本信息和随访结果,采用肩关节活动度,DASH与Constant-Murley评分系统评定近期疗效.结果:19例患者随访资料完整,平均随访10.4个月.其中,18例患者获得骨性愈合,平均愈合时间7.2个月,1例患者出现术后不愈合.末次随访时患肢肩关节活动度、DASH与Constant-Murley评分改善明显,与术前相比差异有统计学意义(P＜0.05).出现术后并发症3例.结论:垂直双钢板治疗肱骨干骨不愈合近期疗效满意.高龄、合并内科疾病影响骨折愈合时间和患肢功能恢复,应充分做好围手术期准备,以提高术后疗效.%Objective:To explore the short-term clinical efficacy of orthogonal double plate fixation in the treatment of nonunion of humeral shaft fracture.Methods:Nineteen patients with nonunion of humeral shaft fracture were treated.The basic information and followup results were recorded.The data were processed statistically,and the clinical effect was analyzed.Results:All 19 patients were followed up for an average of 10.4 months.Eighteen patients were healed with bony union for an average of 7.2 months,and fracture nonunion was taken place in one patient.At the last follow-up,postoperative limb activity and function improved significantly (P＜0.05).Postoperative complications occurred in three patients.Conclusion:The short-term clinical efficacy of orthogonal double plate fixation in the treatment of nonunion of humeral shaft fracture is satisfactory.Age,medical disease can affect the fracture healing time and limb functions.Perioperative surgery should be well prepared to improve postoperative efficacy.