摘要
目的探讨应用锁定钢板治疗老年骨质疏松性肱骨近端粉碎性骨折的临床效果。方法对我科在2007年1月～2009年1月应用肱骨近端加压锁定钢板(Locking proximal humeralplate,LPHP)治疗26例肱骨近端粉碎性骨折进行回顾性分析。按Neer分型,3部分骨折19例,4部分骨折7例,均为新鲜骨折。结果术后随访24例,随访时间9～24个月,骨折全部愈合,无肱骨头缺血性坏死。以Neer评分评估其功能,优良率达83.33%。结论锁定加压钢板治疗老年肱骨近端粉碎性骨折稳定牢固,疗效满意。
Objective To investigate the clinical efficacy on the use of locking plate for treating osteoporostic proximal humeral comminuted fracture in the elderly.Methods From January 2007 to January 2009,26 cases with proximal humeral comminuted fracture received treatment of compressive locking plate internal fixation were analyzed retrospectively.According Neer typing,the fracture of part 3 and part 4 were in 19 and 7 cases respectively.All cases were fresh fracture.Results No wound infection and hydrosy and loose ness of fixation plate were found after operation.24 cases were followed-up for 9-24 months after operation.The union was good in all cases.No humeral ischemic necrosis head was found.According Neer functional score,the excellent and good rate were in 83.33%.Conclusion Locking compressive plate possesses reliable fixation and satisfactory therapeutic efficacy for the treatment of proximal humeral comminuted fracture in the elderly.
出处
《岭南现代临床外科》
2010年第1期45-46,51,共3页
Lingnan Modern Clinics in Surgery
关键词
肱骨近端锁定钢板
肱骨近端骨折
内固定
Locking plate of proximal humerus
Fracture of proximal humerus
