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髓内钉治疗老年性肱骨近端骨折的疗效评价

华筠毅 黄伟杰 戴明华 吴洪亮

组织工程与重建外科杂志2018,Vol.14Issue(2):89-91,3.
组织工程与重建外科杂志2018,Vol.14Issue(2):89-91,3.

髓内钉治疗老年性肱骨近端骨折的疗效评价

Evaluation of the Curative Effect of Intramedullary Proximal Humeral Nailing in the Treatment of Elderly Proximal Humeral Fracture

华筠毅 1黄伟杰 1戴明华 1吴洪亮1

作者信息

  • 1. 200125上海市 浦东新区浦南医院骨科
  • 折叠

摘要

Abstract

Objective To explore the feasibility and the curative effect of proximal humeral nailing in the treatment of elderly proximal humeral fracture. Methods From January 2015 to December 2016, 49 cases above 70 years old with elderly proximal humeral fracture (NeerⅡ-Ⅳ)were included and reviewed.All cases were divided into 2 groups according to different internal fixation and treated with locking proximal humeral plate (LPHP group) or intramedullary proximal humeral nailing fixation (IPHN group) respectively. The comparability of the basic data of two groups, recovery of shoulder joint function and imaging data were analyzed. Results The difference was considered statistically significant between two groups in the assessment during the early postoperative period(P<0.05).There was no significant difference in the assessment of long-term function after operation(P>0.05).And there was no significant difference in the assessment of cure rate between the two groups (P>0.05). Conclusion IPHN may promote the early recovery of elderly proximal humeral fracture, but its long-term effects have no obvious advantage.

关键词

肱骨近端骨折/髓内钉/老年患者

Key words

Proximal Humeral fracture/Intramedullary nail/Elderly patient

分类

医药卫生

引用本文复制引用

华筠毅,黄伟杰,戴明华,吴洪亮..髓内钉治疗老年性肱骨近端骨折的疗效评价[J].组织工程与重建外科杂志,2018,14(2):89-91,3.

基金项目

上海市浦东新区卫计委课题(PW2017B-21). (PW2017B-21)

组织工程与重建外科杂志

OACSTPCD

1673-0364

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