锁定接骨板和前部肩峰成形术治疗肱骨近端骨折
肱骨,,肱骨；,骨折；,内固定；,前部肩峰成形,1临床资料和方法,2结果,3讨论,参考文献：
摘 要：[目的]探讨和完善治疗肱骨近端粉碎骨折的手术方法。[方法]对12例肱骨近端骨折患者，在切开复位内固定的同时，行前部肩峰成形术。[结果]手术治疗12例病人术后随访6～24个月，平均12个月，骨折均愈合，肩关节活动良好，未发现有肱骨头缺血性坏死和骨折不愈合的现象。[结论]在肱骨近端骨折内固定手术治疗的同时应用前部肩峰成形术，可有效地预防手术后肩峰撞击征的发生，促进肩关节功能的恢复。准确的截骨量和术后早期锻炼是手术成功的关键。关键词：肱骨； 骨折； 内固定； 前部肩峰成形
Therapy of fracture of proximal humerus with locking proximal humerus plate and anterior acromioplasty∥CHENG Biao, LIN Jianping, CHEN Zhengrong.Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032
Abstract：[Objective]To explore the indications and operative techniques for comminuted fracture of proximal humerus. [Method] Twelve patients with fracture of proximal humerus were chosen, observation was made after locking proximal humerus plate fixation with anterior acromioplasty. [Result]The average followup period were 12 months (6～24months). All patients' fracture in surgery group had been union and all shoulder had good functions. No incidence of avascular necrosis and nonunion was found. [Conclusion]Rigid fixation of displaced comminuted fractures of proximal humerus with anterior acromioplasty is a simple and effective technique to prevent subacromial impingement syndrome after surgery. Precise osteotomy and early postoperative exercises are the key to success. ......
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