摘要
目的:探讨锁定钢板治疗老年人肱骨近端骨折的临床疗效。方法:从2006年4月～2009年7月,应用肱骨近端锁定钢板治疗老年肱骨近端骨折13例,普通T型钢板8例。其中,Neer二部分骨折8例,三部分骨折8例,四部分骨折5例。结果:术后平均随访6.7月,所有病例无骨折不愈合,比较2种方法:锁定钢板组,Neer肩关节功能评分:优7例,良4例,优良率为84.6%,普通T型钢板组,Neer肩关节功能评分:优3例,良3例,优良率为75%。结论:肱骨近端锁定钢板操作简单、内固定可靠,软组织损伤小,利于术后早期功能锻炼,为老年骨质疏松病人肱骨近端骨折治疗的良好选择。
Objective：To investigate the clinical efficacy of the locking proximal humerus plate（LPHP）for the treatment of proximal humeral fracture in elderly patients.Methods：From April 2006 to July 2009,LPHP was performed to 13 elderly patients with proximal humeral fractures,while common T-plate was applied to 8 cases as control.Of whom there were 8 cases of Neer two part fractures,8 cases of three-part fractures and 5 cases of four-part fractures.Results：After an average follow-up of 6.7 months,all cases were healed.According to Neer shoulder function scale,there was excellent effect in 7 cases,good in 4,and the excellent rate was 84.6% in LPHP group.In common T-plate group,the effect was excellent in 3 cases,good in 3,and excellent rate was 75%.Conclusion：LPHP treatment is simple and reliable,causing little soft tissue injury and benefiting early postoperative functional exercise.Thus,it is a good way for elderly osteoporosis patients with proximal humeral fracture.
出处
《中国中医骨伤科杂志》
CAS
2010年第5期35-36,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
肱骨近端
骨折
治疗
Proximal humerus
Fracture
Treatment
