老年肱骨外科颈骨折的手术疗效分析  

Clinical Analysis of Surgical Treatment of Fracture of Surgical Neck of Humerus in Senile Patients

作　　者：林春阳 

机构地区：[1]广东省深圳市罗湖区中医院骨科,518001

出　　处：《医学理论与实践》2004年第9期1024-1025,共2页The Journal of Medical Theory and Practice

摘　　要：目的 :总结探讨老年肱骨外科颈骨折的临床特点与手术治疗效果。方法 :回顾分析 5 6例老年肱骨外科颈骨折采用T型钢板、8字钢丝螺钉及经皮克氏针固定等 3种手术方式的疗效及并发症等情况。结果 :上 3种固定的疗效按Neer评分标准 ,优良率分别为 85 .7%、90 %及 6 6 .7% ,骨折愈合时间则无统计学的差异。克氏针固定组中出现较多的感染及退针并发症。结论 :老年肱骨外科颈骨折患者由于骨质疏松及容易出现肩关节功能障碍等特点 ,在需要手术的患者中宜采用可靠、损伤小及能满足早期功能锻炼的内固定 ,但不必过分强调骨折的解剖复位而加重创伤 ,影响手术效果 ;Objective: To investigate the clinical features and surgical treatment of the fracture of surgical neck of humerus in senile patients. Methods: 56 cases were retrospectively reviewed. They were treated with T-shaped plate (TF), 8-shaped steel wire and screw (WF), and Kirschner wire fixation (KF). The treatment efficacies of different methods were compared.Results: The rate of excellent and good in TF was 85.7%,in WF was 90% and in KF was (66.7%).Average fractures heal time had no difference. In Kirschner wire fixation group, more cases had postoperation infection and fixation failure.Conclusion: Since the senile patients often have osteodensity and periarthritis of shoulder, so the fixation in senile patients must be strong, minimally invasive and allow to move the joint early. This study supports the use of the 8-shaped steel wire and screw fixation in fractures of surgical neck of humerus in senile patients.

关 键 词：老年 肱骨外科颈骨折 手术治疗 临床特点 手术方式 并发症 

分 类 号：R683.41[医药卫生—骨科学]