Multiloc髓内钉与锁定钢板治疗老年肱骨近端骨折的早期疗效  

The early efficacy of Multiloc intramedullary nail and locking plate in the treatment of elderly patients with proximal humeral fractures

作　　者：王胜浪 吴春飞 何益凤 WANG Shenglang;WU Chunfei;HE Yifeng(Department of Orthopedics I,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong,Yangjiang 529500,China;Department of Spine Orthopedics,the Third Hospital,Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 510378,China)

机构地区：[1]广东省阳江市中医医院骨一科,广东阳江529500 [2]广州中医药大学第三附属医院脊柱骨科,广东广州510378

出　　处：《中国医药科学》2022年第4期169-172,共4页China Medicine And Pharmacy

基　　金：广东省中医药局科研项目(20211211)。

摘　　要：目的探讨Multiloc髓内钉与锁定钢板治疗老年肱骨近端骨折的早期疗效。方法选择阳江市中医医院2018年8月至2021年8月收治的老年肱骨近端骨折76例,采用随机数字表法分为对照组(n=38)与观察组(n=38),对照组采用锁定钢板治疗,观察组采用Multiloc髓内钉治疗,比较两组围手术期指标[手术切口长度、手术时间、术中出血量、住院时间、术后1周肩关节疼痛评分(VAS)]、术后肩关节功能恢复情况(Constant功能评分)及并发症发生情况。结果观察组手术切口长度、手术时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后1周肩关节运动VAS评分比较,差异无统计学意义(P>0.05),观察组静息VAS评分低于对照组,差异有统计学意义(P<0.05);观察组Constant功能评分高于对照组,差异有统计学意义(P<0.05);观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论Multiloc髓内钉治疗老年肱骨近端骨折与锁定钢板比较,可改善患者围手术期指标,减轻静息疼痛,减少术后并发症发生率,提升患者肩关节功能恢复效果。Objective To investigate the early effect of Multiloc intramedullary nail and locking plate in the treatment of elderly patients with proximal humeral fractures.Methods A total of 76 elderly patients with proximal humeral fractures admitted to Yangjiang Hospital of Traditional Chinese Medicine from August 2018 to August 2021 were selected and divided into the control group(n=38)and observation group(n=38)by random number table method.The control group was treated with locking plate,while the observation group was treated with Multiloc intramedullary nails.The perioperative indicators(length of surgical incision,operation time,intraoperative blood loss,hospital stay,score of shoulder pain at 1 week after surgery(by visual analogue scale[VAS]),postoperative shoulder function recovery(by Constant function score)and complications were compared between the two groups.Results The length of surgical incision,operation time,and hospital stay in the observation group were shorter than those in the control group,and the amount of intraoperative blood loss was less than that in the control group,with statistically significant differences(P<0.05);there was no statistically significant difference in the VAS score of shoulder joint movement at 1 week after operation(P>0.05),and the resting VAS score of the observation group was lower than that of the control group,with statistically significant difference(P<0.05);the Constant function score of the observation group was higher than that of the control group,with statistically significant difference(P<0.05);the total incidence of postoperative complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Compared with locking plate,Multiloc intramedullary nails for the treatment of elderly patients with proximal humeral fractures can improve patients’perioperative indicators,reduce resting pain and postoperative complications,and improve the recovery of should er joint function in patients.

关 键 词：Multiloc髓内钉 锁定钢板 老年 肱骨近端骨折 肩关节功能 早期疗效 

分 类 号：R687.3[医药卫生—骨科学]