人工肱骨头置换治疗老年肱骨近端三、四部分骨折的疗效分析  

Clinical efficacy of humeral head replacement for proximal humerus in elderly patients of three or four part fractures

作　　者：李振宇[1] 叶少腾 陈晓明[1] 

机构地区：[1]广东省普宁市人民医院,广东普宁515300

出　　处：《中国当代医药》2011年第35期175-176,共2页China Modern Medicine

摘　　要：目的:探讨人工肱骨头置换术在治疗老年肱骨近端三、四部分骨折的临床疗效。方法:选取本院2007年5月～2010年3月收治的43例老年肱骨近端三、四部分骨折的患者,随机分为两组,其中对照组28例,行切开复位钢板内固定术治疗,观察组15例,行人工肱骨置换术治疗,对比分析两组临床疗效。结果:观察组手术时间、术中出血、术后并发症发生及开始活动时间方面明显优于对照组(P<0.05),两组住院时间差异无统计学意义(P>0.05)。观察组的优良率达86.7%,高于对照组的64.3%(P<0.05)。结论:人工肱骨头置换术在治疗老年肱骨近端三、四部分骨折具有较好的临床疗效。Objective： To study the clinical efficacy of humeral head replacement for proximal humerus in elderly patients of three or four part fractures. Methods： Forty-three cases of elderly patients of proximal humerus in three or four part fractures were selected from May 2007 to March 2010. All patients were randomly divided into two groups, 28 patients in control group were given treatment of open reduction and plate fixation, while 15 patients in observation group were given treatment of Humeral head replacement. Analysis the comparative clinical efficacy of two groups. Results： The operative time, blood loss, postoperative complications and time to begin activities of observation group were better than control group （P〈0.05）. However, there was no difference in hospitalization time between two groups（P〉0.05）. The excellence rate of observation group（86.7%） was better than control group（64.3%） （P〈0.05）. Conclusion： Humeral head replacement for proximal humerus in elderly patients of three or four-part fractures with a good clinical efficacy.

关 键 词：老年肱骨近端骨折 钢板内置术 人工肱骨头置换 

分 类 号：R683[医药卫生—骨科学]