解放军医学院学报2018，Vol.39Issue(2)：91-94,113,5.DOI:10.3969/j.issn.2095-5227.2018.02.001
解剖型异体腓骨髓内支撑钢板内固定术治疗老年肱骨近端粉碎性骨折疗效观察
Clinical outcomes of locking compression plate with intramedullary anatomical fibular allograft for proximal humerus fractures in older people
摘要
Abstract
Objective To compare the clinical outcomes and complications between hemiarthroplasty (HA) and locking compression plate (LCP) with fibular allograft in treatment of older patients with comminuted proximal humerus fracture (PHF). Methods From January 2010 to December 2013, a total of 49 older patients with displaced PHF who were treated by HA (n=20) or LCP with fibular allograft (n=29) were included in our study. Function outcomes were assessed by the disability of the arm, shoulder and hand (DASH) score, constant-murley score (CMS), and complications were also recorded in each group. Results There was no significant difference in age, sex, mechanism of injury, and bone mineral density (all P ＞ 0.05). The average follow-up was 63.2 months (range, 48-72 months) in HA group and 60.5 months (range, 48-72 months) in F-LCP group. CMS score in F-LCP group was significantly higher than that in HA group [(70.3±13.9) vs (57.3±12.7), P=0.004], while there was no significant difference in DASH score between the two groups. Range of motion (ROM) in F-LCP group was significantly higher than that in HA group [(22.5土8.9) vs (15.3±3.1), P=0.034]. In F-LCP group, one case had screw perforation, and one with developed avascular necrosis (AVN). In HA group, one patient developed infection, four patients had shoulder stiffness, and one patient suffered from tuberosity migration. Conclusion The present results show that patients treated by LCP with fibular allograft have better functional outcomes and lower complication rates compared to patients treated by hemiarthroplasty.关键词
肱骨近端骨折/解剖型腓骨移植/锁定钢板/肩关节置换Key words
proximal humerus fractures/intramedullary fibular allograft/locking compression plate/hemiarthroplasty分类
医药卫生引用本文复制引用
朱正国,齐红哲,常祖豪,陈华,唐佩福..解剖型异体腓骨髓内支撑钢板内固定术治疗老年肱骨近端粉碎性骨折疗效观察[J].解放军医学院学报,2018,39(2):91-94,113,5.基金项目
国家自然科学基金项目(81772336) （81772336）
解放军总医院转化医学资助项目(20160101) （20160101）
Supported by National Natural Science Foundation of China (81772336) （81772336）
