PHILOS钛板内固定术与髓内钉固定术治疗老年肱骨近端粉碎性骨折患者的效果比较  

Comparison of effects of PHILOS titanium plate internal fixation and intramedullary nail fixation in treatment of elderly patients with comminuted proximal humeral fractures

作　　者：刘尊章 LIU Zunzhang(Department of Surgery of Yinma Township Central Hospital,Changyi 261317 Shandong,China)

机构地区：[1]山东省昌邑市饮马镇中心卫生院外科,山东昌邑261317

出　　处：《中国民康医学》2024年第17期141-143,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较肱骨近端锁定(PHILOS)钛板内固定术与髓内钉固定术治疗老年肱骨近端粉碎性骨折患者的效果。方法:选取2021年6月至2022年12月该院收治的60例老年肱骨近端粉碎性骨折患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各30例。对照组采用髓内钉固定术治疗,观察组采用PHILOS钛板内固定术治疗,比较两组手术优良率、Neer评分、手术时间、骨折愈合时间和并发症发生率。结果:观察组手术优良率为93.33%,明显高于对照组的70.00%,差异有统计学意义(P<0.05);治疗后,两组Neer评分高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组骨折愈合时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.67%,明显低于对照组的26.67%,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05)。结论:PHILOS钛板内固定术治疗老年肱骨近端粉碎性骨折患者可提高手术优良率和术后Neer评分,缩短骨折愈合时间,以及降低并发症发生率,效果优于髓内钉固定术治疗。Objective:To compare effects of proximal humeral internal locking system(PHILOS)titanium plate internal fixation and intramedullary nail fixation in treatment of elderly patients with comminuted proximal humeral fractures.Methods:A prospective study was conducted on 60 elderly patients with comminuted proximal humeral fractures admitted to this hospital from June 2021 to December 2022.According to the random number table method,they were divided into observation group and control group,30 cases in each group.The control group was treated with intramedullary nail fixation,while the observation group was treated with PHILOS titanium plate internal fixation.The excellent and good rate of operation,the Neer score,the operation time,the fracture healing time,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of operation in the observation group was 93.33%,which was significantly higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the Neer scores of the two groups were higher than those before the treatment,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The fracture healing time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%,which was significantly lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in operation time between the two groups(P>0.05).Conclusions:PHILOS titanium plate internal fixation in the treatment of the elderly patients with comminuted proximal humeral fractures can improve the excellent and good rate of surgery and the postoperative Neer scores,shorten the fracture healing time,and reduce the incidence of complications.Moreover,it is superior to intramedullary nail fixat

关 键 词：PHILOS钛板内固定术 髓内钉固定术 老年 肱骨近端粉碎性骨折 Neer评分 并发症 

分 类 号：R68[医药卫生—骨科学]