手法复位联合小夹板外固定治疗肱骨外科颈骨折临床效果观察

周波

[摘要] 目的 观察应用手法复位联合小夹板外固定治疗肱骨外科颈骨折的疗效。 方法 选取2008年5月~2012年5月入我院创伤骨科住院治疗的肱骨外科颈骨折患者80例。随机分为两组，观察组和对照组各40例。应用手法复位及夹板外固定治疗者为观察组，应用切开复位内固定者为对照组。 结果 观察组的骨折骨性愈合率及肩关节功能优良率均显示高于对照组，差异存在统计学意义（P＜0.05）。 结论 应用手法复位联合小夹板外固定方式治疗肱骨外科颈骨折，可得到骨折骨性愈合率高，功能锻炼早，软组织修复快的临床疗效。

[关键词]肱骨外科颈骨折；手法复位联合小夹板外固定；骨折骨性愈合

[中图分类号] R683.41   [文献标识码] B   [文章编号] 2095-0616（2014）09-202-03

Observation on the clinical effect of manipulative reduction combined with external fixation by small splint for treatment of fracture of the surgical neck of the humerus

ZHOU Bo

Orthopedics Department, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China

[Abstract] Objective To observe the efficacy of manipulative reduction combined with external fixation by small splint for treatment of fracture of the surgical neck of the humerus. Methods 80 cases with fracture of the surgical neck of the humerus hospitalized and treated in the Traumatic Orthopedics Department of our hospital from May 2008 to May 2012 were selected and randomly assigned to two groups, with 40 cases in the observation group and 40 cases in the control group. The observation group was given manipulative reduction combined with external fixation by small splint while the treatment group was given open reduction and internal fixation. Results The observation group had significantly higher fracture bone healing rate and higher excellent rate of shoulder joint function than the control group, with statistical significance (P＜0.05). Conclusion Application of manipulative reduction combined with external fixation by small splint for treatment of fracture of the surgical neck of the humerus can gain better clinical efficacy of higher bone healing rate, earlier functional exercise and faster soft tissue repair.

[Key words] Fracture of the surgical neck of the humerus; Manipulative reduction combined with external fixation by small splint; Fracture bone healing

肱骨外科颈位于胸大肌止点以上，解剖颈下2~3cm，此处稍细且是松质骨向密质骨移行处，作为解剖薄弱环节，临床发病率高，且多发于中老年人[1-2]。临床主要症状与体征以局部疼痛、肿胀明显、肩关节活动不利及环形压痛、叩击痛、局部骨擦音、瘀点瘀斑等为主要表现[3-4]。2009年5月~2012年5月我院创伤骨科应用手法复位加小夹板外固定法治疗40例肱骨外科颈骨折患者，骨性愈合率高，肩关节功能恢复满意，相应地与应用切开复位行钢板内固定治疗40例肱骨外科颈骨折患者进行对比，现报道如下。

1 资料与方法

1.1 一般资料

选取2009年5月~2012年5月入我院创伤骨科住院治疗的肱骨外科颈骨折患者80例，所有患者均可达到肱骨外科颈骨折诊断标准，其中男32例，女48例；……