临床骨科杂志2024，Vol.27Issue(2)：223-225,3.DOI:10.3969/j.issn.1008-0287.2024.02.021
锁定钢板治疗中老年肱骨近端骨折的疗效
Efficacy of locking plate for treatment of proximal humeral fracture in the middle-aged and elderly patients
张永 1顾文浩 1杨茂清2
作者信息
- 1. 芜湖市中医医院骨科,安徽 芜湖 241000
- 2. 山东省文登整骨医院骨科,山东 威海 264400
- 折叠
摘要
Abstract
Objective To investigate the efficacy of locking plate for treatment of proximal humeral fracture in mid-dle-aged and elderly patients.Methods The locking plate was used to treat 46 middle-aged and elderly patients with proximal humeral fractures.Fracture reduction,fracture healing time,shoulder range of motion were recorded.Shoulder function was evaluated using the Neer scores.Results All patients were followed up for 6～12 months.Postoperative X-rays film showed 43 cases of anatomic reduction and 3 cases of functional reduction.All 43 fractures healed normal-ly,and the time was 3～6 months.Three cases had delayed healing due to without anatomical reduction during opera-tion,and the fracture healing time was 6～12 months.At the last follow-up,the range of motion of the shoulder joint:anterior flexion was 70°～85°,posterior extension was 35°～40°,internal rotation 70°～85°,external rotation 40°～50°;Neer score was used to evaluate shoulder joint function:31 cases were excellent,9 cases were good,3 cases were good,3 cases were poor,and the excellent-good rate was 86.96%.Conclusions The use of locking plate to treat proximal humeral fracture in middle-aged and elderly patients is simple to operate,reliable fixation,and patients can do early functional exercise,which is conducive to restore shoulder joint function.关键词
肱骨近端骨折/锁定钢板/中老年Key words
proximal humeral fracture/locking plate/the middle-aged and elderly分类
医药卫生引用本文复制引用
张永,顾文浩,杨茂清..锁定钢板治疗中老年肱骨近端骨折的疗效[J].临床骨科杂志,2024,27(2):223-225,3.
