应用锁定加压钢板治疗肱骨近端骨折  

Locking Proximal Humerus Plate for treatment of proximal humeral fractures

作　　者：张国林[1] 边绍清[1] 汤庆[1] 刘仕均 

机构地区：[1]攀枝花市十九冶医院骨科,四川攀枝花617023

出　　处：《中国冶金工业医学杂志》2013年第1期19-20,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨肱骨近端锁定加压钢板(LPHP)治疗肱骨近端骨折的疗效。方法 2007年3月至2011年2月应用LPHP治疗并获得随访的39例患者,其中男23例,女16例,年龄31～84岁,平均53.6岁;按Neer分型,二部分骨折13例,三部分骨折20例,四部分骨折6例,病人在伤后3～10天内手术,平均5.3天。结果 39例患者获12～24个月的随访,平均17.5个月,骨折均获愈合,愈合时间8～24周,平均12周,根据Neer肩关节功能评定标准评定术后疗效,优29例,良8例,可1例,差1例。优良率94.8%。结论采用LPHP治疗肱骨近端骨折固定牢固,疗效可靠,有利于肩关节早期功能锻炼。Objective To study the effect of locking proximal humerus plate（LPHP）for treatment of proximal humeral fractures. Methods The follow-up data of 39 eases treated with LPHP for proximal humeral fractures collected from March 2007 to February 2011 which includes 20 cases for male patients and 16 for female patients with age range of thirty-one to eighty-four and average age of fifty-three point six. According to Neer classification, part two fractures of proximal humeral are（n： 13）, part three（n= 20）and part four（n= 6）. Operations were performed within 3 to 10 days,5. 3 days for average,after the injury. Results The follow up of the 39 cases lasted 17.5 months for average（ranging from 12 to 24 months）. Fracture healings were observed in all cases with mean healing time 12 weeks （ranging from 8 to 24 weeks）. Assessed by Neer scoring system, there were 29 cases rating with excellent,8 cases with good, 1 ease with acceptable and 1 case with had. The rate of excellent and good was 94.8%. Conclusion Locking proximal humerus plate showed good results for the treatment of proximal humeral fractures. The use of LPHP was good for functional training of shoulder joint at the early stage.

关 键 词：肱骨近端骨折 内固定术 

分 类 号：R687.3[医药卫生—骨科学]