锁定加压钢板和普通钢板治疗老年骨质疏松性肱骨近端骨折的疗效分析对比  

A comparative analysis of treatment efficacy between locking compression plate and ordinary plate for osteoporotic proximal humeral fracture in the elderly

作　　者：彭伟[1] 王亮[1] 马远征[1] 

机构地区：[1]解放军总参谋部总医院(309医院)骨科,北京100091

出　　处：《中国骨质疏松杂志》2010年第10期741-743,共3页Chinese Journal of Osteoporosis

摘　　要：目的分析比较锁定加压钢板和普通钢板治疗老年骨质疏松性肱骨近端骨折的疗效。方法 32例老年骨质疏松性肱骨近端骨折的患者,17例应用锁定加压钢板治疗肱骨近端骨折,15例应用普通钢板治疗肱骨近端骨折,并对结果进行分析对比。结果经12～18个月随访,平均13.7个月。锁定加压钢板组较普通钢板组在手术时间、出血量等方面均有优势;按照Neer肩关节评分标准,术后锁定加压钢板组优于普通钢板组;术后并发症对比,锁定加压钢板组较普通钢板组少。结论锁定加压钢板治疗老年骨质疏松性肱骨近端骨折具有创伤小、骨折愈合率高、并发症少等优点,是一种理想的治疗方法。Objective To analyze comparatively the treatment efficacy between locking compression plate and ordinary plate for osteoporotic proximal humeral fracture in the elderly. Methods Among 32 elderly patients with osteoporotic proximal humeral fractures, 17 patients were treated with locking compression plate and 15 patients were treated with ordinary plate. The results were comparatively analyzed. Results The follow-up time was 12-18 months, with a mean of 13.7 months. Compared with the patients treated with ordinary plate, the patients treated with locking compression plate had equal advantages by means of the operation time and the amount of bleeding. According to Neer score criteria, the efficacy of locking compression plate was superior to ordinary plate after the operation. Compared with the patients treated with ordinary plate, the patients treated with locking compression plate had less post-operative complications. Conclusion Locking compression plate had the advantages of less surgical trauma, high fracture healing rate, and less complications. Therefore it is an ideal treatment method.

关 键 词：锁定加压钢板 肱骨近端骨折 骨质疏松 

分 类 号：R683.41[医药卫生—骨科学]