摘要
目的探讨肱骨近端解剖型锁定钢板治疗肱骨外科颈骨折的疗效。方法回顾性分析2009年5月至2011年8月采用手术并应用解剖型锁定钢板内固定治疗的26例肱骨外科颈骨折患者的临床资料,按Neer骨折分类:Ⅱ型6例,Ⅲ型10例,Ⅳ型10例。随访8～30个月,平均15个月。结果 26例患者均骨性愈合,按照Constant-Murley肩关节评分标准为68～94分,平均85.5分;其中优12例,良10例,一般4例,优良率为84.6%。患侧肩关节视觉模拟法(VAS)疼痛评分平均为(0.4±0.6)分,与健侧比较,差异无统计学意义(P>0.05)。患侧肩关节平均前屈上举、外旋活动度均略低于健侧,但差异无统计学意义(P>0.05)。结论肱骨近端解剖型锁定钢板治疗肱骨外科颈骨折固定可靠,恢复满意,便于早期康复锻炼,是一种较理想的手术固定方法。
Objective To investigate the effect of anatomic proximal humeral locking plate in treating humeral surgical neck fractures.Methods The clinical data in 26 cases of humeral surgical neck fracture treated by surgery and internal fixation of anatomic locking plate from May 2009 to August 2011 were retrospectively analyzed.According to the Neer classification of fractures,the type Ⅱ was in 6 cases,the type Ⅲ in 10 cases and the type Ⅳ in 10 cases.Follow up lasted for 8-30 months（average 15 months）.Results 26 cases all were bony healing and had the Constant-Murley shoulder scores of 68-94（average 85.5%）.12 cases were excellent,10 cases were good and 4 cases were general,with the excellent and good rate of 84.6%.The pain scores of the Visual Analogue Scale（VAS） in affected side shoulder joint were 0.4±0.6,showing no statistical difference compred with the healthy side（P〈0.05）.The average flexion,forward elevation and external rotation activity in the affected side shoulder joint were slightly lower than those in the healthy side,but the difference was not statistically significant（P〈0.05）.Conclusion Anatomic proximal humeral locking plate for fixation of surgical neck of humerus fractures is reliable with satisfactory recovery and conveniece for early rehabilitation and exercise,which is an ideal method of surgical fixation.
出处
《现代医药卫生》
2012年第20期3058-3059,3061,共3页
Journal of Modern Medicine & Health
关键词
肱骨骨折/外科学
骨板
骨折固定术
内
Humeral fractures/surgery
Bone plates
Fracture fixation
internal
