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中华肩肘外科电子杂志 ›› 2023, Vol. 11 ›› Issue (04) : 373 -376. doi: 10.3877/cma.j.issn.2095-5790.2023.04.013

综述

肱骨距螺钉在肱骨近端骨折治疗中的研究进展
代飞, 向明()   
  1. 610041 成都,四川省骨科医院上肢科
  • 收稿日期:2023-09-06 出版日期:2023-11-05
  • 通信作者: 向明
  • 基金资助:
    四川省骨科医院基金(2021LCZX02); 成都市卫生健康委员会基金(20222126)

A review of Calcar screw in the treatment of proximal humerus fractures

Fei Dai, Ming Xiang()   

  • Received:2023-09-06 Published:2023-11-05
  • Corresponding author: Ming Xiang
引用本文:

代飞, 向明. 肱骨距螺钉在肱骨近端骨折治疗中的研究进展[J]. 中华肩肘外科电子杂志, 2023, 11(04): 373-376.

Fei Dai, Ming Xiang. A review of Calcar screw in the treatment of proximal humerus fractures[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2023, 11(04): 373-376.

肱骨近端骨折是老年人常见的骨折之一,手术治疗是移位的肱骨近端骨折最主要的治疗方式,肱骨头内翻、内侧柱支撑不足是导致肱骨近端骨折内固定失败的主要原因之一,如何有效增强内侧柱支撑、维持复位是肱骨近端骨折内固定治疗中的难点。肱骨距螺钉在肱骨近端骨折的治疗中,能有效提供内侧支撑,起到对抗肱骨头移位和内翻畸形的作用。但在临床上,关于肱骨距螺钉的认识和使用仍有争议,包括肱骨距螺钉的适用范围、置钉技巧等。本文以肱骨近端骨折手术治疗中使用肱骨距螺钉加强内侧支撑、维持复位为核心,通过系统阐述肱骨距螺钉的概念、生物力学、置钉陷阱与技巧、置钉位置与数量,加强对肱骨距螺钉的认识与理解,以期进一步指导临床,提高临床疗效。

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