摘要
目的探讨锁定钢板结合注射式磷酸钙骨水泥治疗老年肱骨近端骨折的临床疗效。方法采用锁定钢板结合可注射式磷酸钙骨水泥(CPC)对该院从2014年8月—2016年5月收治的22例老年肱骨近端NeerⅢ、Ⅳ型骨折患者进行治疗。结果 22例患者术后均获得10~18个月(平均15.6个月)随访,所有患者骨折均获得骨性愈合,愈合时间10~16周,平均12.7周,术后无感染及内固定松动发生,根据Neer评分评定,显效15例,有效4例,无效3例,总有效率为86.4%。结论注射式磷酸钙骨水泥具有安全、方便、不良反应小、填充骨缺损,尤其可强化锁定螺钉在肱骨近端的把持力,从而增强锁定钢板固定骨质疏松患者肱骨近端骨折的稳定性,临床疗效满意。
Objective To study the clinical curative effect of locking plate and calcium phosphate cement in treatment of senile proximal humerus NeerⅢand Ⅳtype fractures.Methods 22 cases of senile patients with proximal humerus Neer Ⅲand Ⅳ type fractures admitted and treated in our hospital from August 2014 to May 2016 were selected and treated with locking plate and calcium phosphate cement.Results 22 cases were followed up for 10 months to 18 months,15.6 months on average after operation,and all fractures of patients were cured,and the healing time was between 10 weeks and 16 weeks,12.7 weeks on average,and there was no infection or internal fixation after operation,and according to the Neer score,15 cases were markedly effective,4 cases were effective and 3 cases were ineffective,and the total effective rate was86.4%.Conclusion The CPC is safe and convenient with few side effect,which can fill the bone defect,especially can intensify the grip force of lock screw in the proximal humerus thus enhancing the stability of locking plate in fixing the fractures of the proximal humerus of osteoporosis patients,and the clinical curative effect is satisfactory.
出处
《中外医疗》
2017年第14期8-10,共3页
China & Foreign Medical Treatment
关键词
骨质疏松
锁定钢板
磷酸钙类
肱骨近端骨折
Osteoporosis
Locking plate
Calcium phosphates
Fractures of the proximal humerus
