锁定钢板联合骨水泥或异体骨在老年肱骨近端骨折治疗中的疗效对比分析  

The Analysis of the Clinical Effect of Locking Proximal Humerus Plate(LPHP)Fixation Combined with Bone Cement or Allogeneic Bone Treatment for Proximal Humeral Unstable Fracture of Aged Patients

作　　者：魏辉[1] 孔宪述[1] 邹向前[1] 崔鹏[2] WEI Hui KONG Xian-shu ZOU Xiang-qian et al(Department of Traumatic Hand Surgery, the Third People＇s Hospital of Dalian, Dalian 116033, China)

机构地区：[1]大连市第三人民医院创伤手外科,辽宁大连116033 [2]大连医科大学附属第三医院,辽宁大连116031

出　　处：《医学与哲学（B）》2016年第12期22-24,共3页Medicine & Philosophy(B)

摘　　要：肱骨近端锁定钢板固定技术近年来广泛应用于年轻人高能量粉碎性骨折及老年人骨质疏松骨折。本研究对应用肱骨近端锁定钢板联合异体骨或骨水泥治疗老年性肱骨近端不稳定骨折的临床效果进行比较分析。本组25例老年性肱骨近端骨折患者行切开复位肱骨近端锁定钢板内固定联合异体骨植骨或骨水泥填塞治疗。术后均随访12个月以上。所有患者无感染、内固定松动断裂、骨折不愈合及肱骨头坏死等情况,骨折愈合时间平均3.8个月（3个月~7个月）。结果提示：肱骨近端锁定钢板联合异体骨植骨或骨水泥填塞治疗老年性肱骨近端骨折的临床效果均比较满意,使用骨水泥填塞远期功能恢复更好。Locking proximal humerus plate（LPHP）fixation is suitable for the youth comminuted fracture and aged osteoporotic fracture.To analysis and compare the clinical effect of LPHP combined with bone cement and allogeneic bone treatment for proximal humeral unstable fracture of aged patients.Twenty-five cases of aged proximal humeral fractures were treated with type classification.All the patients were follow-by over 12 months postoperatively.There were no incision infection,disunion of internal fixation and humeral head necrosis happened,all the fractures had united in 3.8months（from 3to 7months）.It is indicated that：the clinical effect of LPHP combined with bone cement treatment on proximal humeral unstable fracture of aged patients is satisfactory.

关 键 词：锁定钢板 肱骨骨折 骨水泥 异体骨 

分 类 号：R683[医药卫生—骨科学]