摘要
目的探讨锁定接骨板治疗老年不稳定性肱骨近端骨折的效果。方法37例老年肱骨近端骨折患者，年龄57～82岁，平均73．2岁。按Neer分型，三部分骨折29例，四部分骨折8例，均应用锁骨接骨板治疗，术中常规予以植骨，术后功能锻炼并改善骨质疏松。结果随访2～14个月（平均7．8个月），均获得骨性愈合，平均愈合时间8．6周。应用Constant—Murley肩关节评分法评定，优25例，良8例，中4例，优良率为89．2％。结论锁定接骨板治疗老年肱骨近端不稳定性骨折，具有疗效好、并发症少等优点，可作为临床上治疗这种骨折的首选方法之一。
Objective To explore the efficacy of locking plate for senile unstable proximal humeral fractures. Methods 37 elderly patients with unstable proximal humeral fractures were all treated with loeking plates, wih an average age of 73.2 years （ ranging from 57 to 82 ）. According to Neer classifixation, 29 patients had three-part fracture and 8 had four-part fracture. Results All the patients were followed up for 2 to 14 months （ average 7.8 months ）. All the fractures occurred bony union. The clinical efficacy was excellent in 25 patients, good in 8, and fair in 4 according to Constant-Murley functional assessment system. Conclusions Locking plate has a better efficacy and less complications in the treatment of senile unstable proximal humeral fractures and It can be used as one of the primary options for the treatment.
出处
《国际医药卫生导报》
2010年第19期2374-2376,共3页
International Medicine and Health Guidance News
关键词
肱骨近端
骨折
锁定接骨板
老年
内固定
Proximal humerus
Fracture
Locking plate
Elderly
Internal fixation
