前内侧微创入路钢板内固定术治疗肱骨中段骨折1例

One Case of Mid-Humerus Fracture Treated with Minimally Invasive Anterior-Medial Approach Plate Internal Fixation

摘要: 目的：探讨前内侧微创入路钢板内固定术在治疗肱骨中段骨折中的临床应用价值及技术要点。方法：回顾性分析2021年6月收治的1例左肱骨中段骨折患者的临床资料，患者为53岁女性，采用前内侧微创入路进行经皮钢板内固定术。术中通过肱骨内髁近端及近端前侧两个小切口建立皮下隧道，置入锁定钢板并完成复位固定。结果：手术顺利完成，术中未出现桡神经损伤等并发症。术后1天X线显示骨折复位良好；术后6个月复查显示骨折线模糊，内固定稳定；术后16个月拆除内固定装置，患者肩肘关节功能恢复良好，切口愈合美观。结论：前内侧微创入路钢板内固定术具有操作安全、创伤小、恢复快、美观性好等优点，能有效避免桡神经损伤，是治疗肱骨中段骨折的可行选择之一，尤其适用于对美观和功能恢复有较高要求的患者。

Abstract: Objective: To explore the clinical application value and technical points of minimally invasive anterior-medial approach plate internal fixation in the treatment of mid-humerus fractures. Methods: The clinical data of a 53-year-old female patient with a left mid-humerus fracture admitted in June 2021 were retrospectively analyzed. The patient underwent percutaneous plate internal fixation via an anterior-medial minimally invasive approach. Two small incisions were made near the medial epicondyle and the anterior proximal humerus to establish a subcutaneous tunnel, and a locking plate was inserted for reduction and fixation. Results: The surgery was successfully completed without complications such as radial nerve injury. Postoperative X-rays on day 1 showed good fracture reduction; at 6 months, the fracture line was blurred with stable fixation; at 16 months, the internal fixation was removed, and the patient showed good recovery of shoulder and elbow function with aesthetically satisfactory incision healing. Conclusion: The anterior-medial minimally invasive approach plate internal fixation is safe, minimally invasive, promotes rapid recovery, and offers good cosmetic outcomes. It effectively avoids radial nerve injury and represents a feasible option for treating mid-humerus fractures, especially for patients with high demands for aesthetics and functional recovery.