[1]孙滨,李琳琳,孙卫强,等.弹性髓内钉微创治疗肱骨外科颈骨折[J].中国中医骨伤科杂志,2025,33(04):81-84.[doi:10.20085/j.cnki.issn1005-0205.250416 ]
　SUN Bin,LI Linlin,SUN Weiqiang,et al.Minimally Invasive Treatment of Surgical Neck Fractures of Humerus with Three Elastic Intramedullary Nails[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):81-84.[doi:10.20085/j.cnki.issn1005-0205.250416 ]
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弹性髓内钉微创治疗肱骨外科颈骨折()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
81-84
栏目:
临床报道
出版日期:
2025-04-15

文章信息/Info

Title:
Minimally Invasive Treatment of Surgical Neck Fractures of Humerus with Three Elastic Intramedullary Nails
文章编号:
1005-0205(2025)04-0081-04
作者:
孙滨1; 李琳琳1; 孙卫强1; 段来宝1; 赵磊1; 吴青松1; 王天瑞2; 王飞1△
1山东省文登整骨医院(山东 威海,264400); 2滨州医学院特殊教育与康复学院
Author(s):
SUN Bin1; LI Linlin1; SUN Weiqiang1; DUAN Laibao1; ZHAO Lei1; WU Qingsong1; WANG Tianrui2; WANG Fei1△
1Wendeng Orthopaedic and Traumatologic Hospital of Shandong Province,Weihai 264400,Shandong China; 2School of Special Education and Rehabilitation,Binzhou Medical College,Yantai 264003,Shandong China.
关键词:
弹性髓内钉;  微创手术;  肱骨外科颈骨折;  复杂骨折
Keywords:
flexible intramedullary nailing;  minimally invasive surgery;  humeral surgical neck fractures;  complex fractures
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.250416
文献标志码:
B
摘要:
目的:介绍用3枚弹性髓内钉固定复杂肱骨外科颈骨折的手术技术及初步临床结果。方法:回顾性分析2021年6月至2024年6月采用3枚弹性髓内钉治疗90例Neer Ⅲ/Ⅳ型复杂肱骨外科颈骨折患者。采用文登整骨闭合手法复位技术复位骨折端,以3枚弹性髓内钉经肱骨外髁裸区逆行穿入髓腔直至肱骨近端软骨下骨,通过弹性钉在远近端及髓腔内的多维立体空间布局提供稳定性,总结90例患者的临床及影像结果。结果:90例患者均顺利完成手术,术后无针道感染、激惹、骨折不愈合,3例患者出现部分髓内钉松动突破关节面进入关节腔,无症状,未行处理; 2例患者发生肱二头肌长头肌腱炎,经过理疗及封闭治疗症状消失。骨折均达到功能复位标准,所有患者均达到骨性愈合。末次随访时,肩关节 Constant-Murley评分为(85.7±0.5)分。结论:3枚弹性髓内钉微创治疗Neer Ⅲ/Ⅳ型复杂肱骨外科颈骨折,创伤小、愈合快、固定可靠,初步结果好。
Abstract:
Objective:This paper introduces the surgical technique and preliminary clinical results of three elastic intramedullary nails for the fixation of complex surgical neck fractures of humerus.Methods:A retrospective analysis was made on 90 patients with Neer Ⅲ and Ⅳ complex surgical neck fractures of humerus treated with three elastic intramedullary nails from June 2021 to June 2024.Three elastic intramedullary nails were retrograde inserted into the medullary cavity through the bare area of the external condyle of the humerus to the subchondral bone of the proximal end of the humerus.The multi-dimensional spatial layout of the elastic nails in the proximal and distal ends and the medullary cavity provided stability.The clinical and imaging results of 90 patients were summarized.Results:All the 90 patients successfully completed the operation without needle tract infection,irritation,or fracture nonunion.Three cases had partial intramedullary nail loosening,breaking through the articular surface and entering the joint,without symptoms and without treatment.Tendinitis of the long head of the biceps occurred in 2 cases,and the symptoms disappeared after physiotherapy and sealing treatment.All fractures met the standard of functional reduction and bone healing was achieved in all patients.At the last follow-up,the Constant-Murley score of shoulder joint was(85.7±0.5)points.Conclusion:Minimally invasive treatment of Neer Ⅲ and Ⅳ complex humerus neck fractures with three elastic intramedullary nails showed little trauma,fast healing,reliable fixation and good preliminary results.

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备注/Memo

备注/Memo:
基金项目:山东省医药卫生科技发展计划项目(202104070292) 山东省中医药科技项目(M-2022091) 威海市中医药科技项目(2021Ⅲ-15) △通信作者 E-mail:Wangfei8150569@163.com
更新日期/Last Update: 2025-04-10