锁定钢板治疗肱骨近端骨折临床分析  

The clinical experience analysis of applying locked steel plates to treat humerus-end fracture

作　　者：张军[1] 

机构地区：[1]广元市第一人民医院骨科,四川广元628017

出　　处：《四川医学》2011年第1期80-81,共2页Sichuan Medical Journal

摘　　要：目的探讨应用肱骨近端锁定钢板治疗中老年患者肱骨近端骨折的疗效。方法回顾性分析我院近年来收治的中老年患者的临床资料。结果 2006年4月～2010年8月使用肱骨近端锁定钢板治疗肱骨近端骨折54例,年龄45～81岁;平均54岁。骨折按Neer分型:2部分骨折15例,3部分骨折28例,4部分骨折11例,均予肱骨近端锁定钢板内固定。41例获随访,随诊6～24个月,平均14个月。均获骨性愈合,平均愈合时间4.8个月。肩关节功能按Neer疗效评分系统评定,优24例,良16例,可1例,差1例,优良率93.5%。结论锁定加压钢板治疗中老年患者肱骨近端骨折疗效满意,是目前治疗肱骨近端骨折较理想的内固定方法。只要重视肩袖损伤的修复,术后,早期进行功能锻炼,抗骨质疏松治疗,功能恢复良好。Objective Explore the treatment effects of applying the humerus-end fixed steel plates to treat the humerus-end fracture of middle-aged and old patients.Methods Review and analyze the clinical data of the middle-aged and old patients that our hospital has received and treated in recent years.Results Apply the humerus-end fixed steel plates to treat 54 cases of the humerus-end fracture from June,2006 to August,2008,aged from 45 to 81 with an average of 54,the fracture is divided according to Neer：There are 15 cases of part 2 fracture,28 cases of part 3 fracture,11 cases of part 4 fracture,which are all internally fixed by the humerus-end fixed steel plates.41 cases have gotten the follow-up treatment for 6 to 24 months with an average of 14 months.Their bones are all healed,the average curing time is 4.8 months.The shoulder joints functions are assessed according to Neer′s effect grading system,among which 24 cases are excellent,16 cases are good,1 case is ok,1 case is bad with the excellent-good rate of 93.5%,Conclusion The treatment effects of applying the fixed pressurization steel plates to treat the humerus-end fracture of middle-aged and old patients are satisfied,it is comparatively satisfying internally-fixed method at present to treat the humerus-end fracture.As long as the recovery of shoulder-sleeve injury is paid much attention to,the functional exercise and anti-bone-soft treatment are conducted after operation and in the early time,the functional recovery would be fine.

关 键 词：锁定钢板 中老年患者 肱骨骨析 内固定 

分 类 号：R687.3[医药卫生—骨科学]