临床骨科杂志Issue(6)：709-711,712,4.DOI:10.3969/j.issn.1008-0287.2014.06.033
肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的疗效比较
Clinical effect comparison of the proximal humeral locking compression plate and the proxi-mal humeral anatomical plate in the treatment of proximal humeral fracture in aged osteopo-rotic population
赖少华 1姚富华 1黄国财 1兰向宇 1练东林 1彭昌文1
作者信息
- 1. 贺州广济医院骨二科，广西 贺州 542800
- 折叠
摘要
Abstract
Objective To compare clinical effect of locking compression plate ( LCP) of proximal humerus and ana-tomical plate ( AP) of proximal humerus in elderly osteoporotic population. Methods 50 elderly osteoporotic pa-tients with proximal humeral fracture were treated with LCP (25cases) and AP (25 cases) respectively. The opera-tion time, intraoperation bleeding, postoperative time of hospitalization, postoperative fracture healing time, postoper-ative rang of motion ( ROM) of shoulder, postoperative complication and Neer scores in 3 months after surgery were observed. Result All patients were followed up for 12~18(13. 5 ± 4. 1)months. The operation time in LCP group was (55. 3 ± 23. 7) min and AP group was (73. 7 ± 30. 3) min,P<0. 05. The blood loss in LCP group was (189. 5 ± 34. 5) ml and AP group was (273. 2 ± 39. 8) ml, P<0. 05. The time of hospitalization in LCP group was (8. 3 ± 3. 1) d and AP group was (10. 5 ± 4. 2) d,P<0. 05. The postoperative fracture healing time in LCP group was (97. 2 ± 23. 8) d and AP group was (119. 5 ± 34. 5) d,P<0. 05. There was statistically differences between two groups of ROM of shoulder ( P <0. 05 ) . The shoulder function was examined and evaluated with Neer score in 3 months postoperative, the excellent and good rate in LCP group was 23/25 and AP group was 21/25, which was no significant differences(P>0. 05). No instrument failure was found in LCP group and 2 cases developed instrument failure in AP group. No complication such as avascular necrosis of the humeral head or internal fixation failure were found in LCP group,and there was 1 case developed screw loose and 1 case developed plate fracture in AP group. Conclusions Compared with the AP, LCP in treating proximal humeral fractures have advantages of reasonable de-sign, simple operation, strong fixation, faster fracture healing, and also can let shoulder function exercise early. It is an more effective method to treat proximal humeral fracture for the elderly patients.关键词
肱骨近端/锁定加压钢板/老年人/肱骨外科颈骨折Key words
proximal humerus/locking compression plate/aged/proximal humeral fracture分类
医药卫生引用本文复制引用
赖少华,姚富华,黄国财,兰向宇,练东林,彭昌文..肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的疗效比较[J].临床骨科杂志,2014,(6):709-711,712,4.
