肱骨近端锁定钢板治疗老年肱骨近端骨折(58例)疗效分析  

The locking proximal humerus plate in the treatment of senile proximal humeral fractures (58 cases) clinical curative effect analysis

作　　者：张辉 郭盛君[2] 冯国英 

机构地区：[1]北京市通州区中西医结合医院骨伤一科,北京101100 [2]北京中医药大学第三附属医院脊柱关节科,北京100029

出　　处：《现代仪器与医疗》2014年第4期60-62,共3页Modern Instruments & Medical Treatment

摘　　要：目的 :研究肱骨近端锁定钢板(locking proximal humeral plate,LPHP)治疗老年肱骨近端骨折的方法及疗效。方法:回顾性分析2008年1月至2013年6月58例肱骨近端骨折切开复位锁钉钢板内固定手术患者的临床资料,患者骨折部分按照Neer分型,其中Ⅱ型骨折24例,Ⅲ型骨折28例,Ⅳ型骨折6例。采用Neer评分评定治疗效果。结果:治疗后对所有患者进行平均18个月(8-26)的随访,所有患者骨折情况全部愈合,总体愈合优良率为96.6%。结论:锁定钢板治疗肱骨近端骨折,固定可靠、术后并发症少,康复时间短,能够有效防止复位丢失,保护板下血运和骨折愈合,是适用于老年群体的良好治疗方法,值得临床推广。Objective：To evaluate and observe functional outcome of locking proximal humeral plate（LPHP） used for ifxationof the proximal humerus fractures in elderly.Method：Retrospective analysis from January 2008 to April 2013,58 patients with an acute proximal humerus fracture were managed with locking proximal humeral plate osteosynthes is after open reduction,30 cases were males,28case were females,with age of 46 to 83 （ mean 62.4）.According to Neer classiifcation, 24 cases were two-partfracture,28 cases were three-part fracture,6 cases were four-part fracture. Result：All of them were with the mean follow-up of ranged 8-26 months （ mean 18 months）, healing at the last review.Functional score standard of Neer was used for evaluating the shoulder function,32 cases were excellent,24 cases were good,1 cases were morderate,1 cases were poor,the excellent and good results rate was 96.6%.Conclusion：Locking proximal humeral plate osteosynthes is leads to satisfactory functional outcomes in proximal humerus fractures,which is a less complications,early functional exercise,effective therapeutic method.

关 键 词：锁定钢板 肱骨近端骨折 老年 内固定 

分 类 号：R687.3[医药卫生—骨科学]