摘要
[目的]观察、评价肱骨近端锁定加压钢板(locking proximal humeral plate,LPHP)治疗复杂性老年肱骨近端骨折的疗效。[方法]回顾性分析2009年12月～2011年12月41例老年肱骨近端二部分以上骨折采用骨折切开复位结合锁定钢板内固定治疗的疗效,其中男13例,女28例,年龄49～82岁(平均67.5岁)。按Neer分类法:2部分骨折12例,3部分骨折22例,4部分骨折7例。[结果]41例均获随访,随访时间8～28个月(平均14个月),骨折均得到了愈合,随访肩关节功能按Neer功能评分标准,优13例,良21例,可4例,差3例,优良率达82.9%。有1例发生肱骨头缺血坏死,2例发生肩峰撞击综合征。[结论]锁定钢板针治疗老年性肱骨近端骨折固定可靠,并发症少,骨折愈合良好,便于早期功能锻炼,是一种有效的治疗方法。
[ Objective] To evaluate and observe functional outcome of locking proximal humeral plate（LPHP） used for fix- ation of the proximal humerus fractures in elderly. [ Method] Retrospective analysis from December 2009 to December 2011,41 patients with an acute proximal humerus fracture were managed with locking proximal humeral plate osteosynthesis after open re- duction, 15 cases were males, 28case were females, with age of 49 to 82 （mean 67.5）. According to Neer classification, 12 ca- ses were two-part fracture,22 cases were three-part fracture,7 cases were four-part fracture. [ Result] All of them were with the mean follow-up of ranged 8 - 28 months （ mean 14 months）, healing at the last review. Functional score standard of Neer was used for evaluating the shoulder function, 13 cases were excellent,21 cases were good,4 cases were morderate,3 cases were poor, the excellent and good results rate was 82.9%. [ Conclusion] Locking proximal humeral plate osteosynthesis leads to satis- factory functional outcomes in proximal humerus fractures, which is a less complications, early functional exercise, effective ther- apeutic method.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2013年第4期332-337,共6页
Orthopedic Journal of China
关键词
肱骨近端骨折
锁定钢板
手术治疗
老年人
proximal humerus fractures, locking plate, operation, the aged
作者简介
曾勉东，副主任医师，研究方向：关节外科，（电话）13527611112，（电子信箱）zhq7125@21en．com
通讯作者：（电话）13570214126，（电子信箱）doetorxjk@163．com
