人工肱骨头置换治疗老年肱骨近端粉碎性骨折对患者肩关节活动度的影响  

The effect of artificial humeral head replacement in the treatment of elderly comminuted fractures of the proximal humerus on the shoulder mobility

作　　者：易成朋 赵文东 赵奇 程杰 柯雯昙 YI Chengpeng;ZHAO Wendong;ZHAO Qi;CHENG Jie;KE Wentan(Department of Orthopedics,Huangshi Love and Health Hospital,Huangshi 435000,China)

机构地区：[1]黄石爱康医院骨科,湖北黄石435000

出　　处：《中国现代医生》2022年第11期95-98,共4页China Modern Doctor

基　　金：湖北省卫生健康委员会科研项目(WJ2019F041)。

摘　　要：目的探讨人工肱骨头置换治疗老年肱骨近端粉碎性骨折对患者肩关节活动度的影响。方法选取2019年1—12月在黄石爱康医院进行治疗的66例老年肱骨近端粉碎性骨折患者,按照随机数字表法进行分组,对照组33例实施锁定加压钢板治疗,观察组33例实施人工肱骨头置换术治疗。比较两组的治疗效果。结果观察组患者的术中出血量少于对照组,手术时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的肩关节活动度大于对照组,Constant-Murley评分、肩关节功能恢复优良率均高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对老年肱骨近端粉碎性骨折患者实施人工肱骨头置换术治疗安全有效,可改善患者的肩关节活动度及肩关节功能。Objective To investigate the effect of artificial humeral head replacement for elderly comminuted fractures of the proximal humerus on shoulder mobility.Methods This study included 66 elderly patients with comminuted fractures of the proximal humerus who were treated in Huangshi Love and Health Hospital from January to December 2019.They were grouped according to the random number table method.The control group(n=33)was subjected to locking pressure plate for treatment.The observation group(n=33)underwent artificial humeral head replacement.The treatment effect between the two groups was compared.Results The intraoperative blood loss of the observation group was less than that of the control group,and the operation time and hospital stay were shorter than those of the control group.The difference was statistically significant(P<0.05).The shoulder mobility of the observation group was greater than that of the control group.The Constant-Murley score and the excellent and good rate of shoulder joint function recovery were higher than those of the control group,and the complication rate was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion Artificial humeral head replacement for elderly patients with comminuted fracture of the proximal humerus is safe and effective,which can improve shoulder mobility and shoulder joint function.

关 键 词：老年 肱骨近端粉碎性骨折 人工肱骨头置换术 肩关节活动度 

分 类 号：R683.41[医药卫生—骨科学]