中国医科大学学报2024，Vol.53Issue(6)：525-530,6.DOI:10.12007/j.issn.0258-4646.2024.06.007
锁定钢板与髓内钉内固定术联合早期康复治疗肱骨近端骨折老年患者的临床疗效及可行性
Clinical efficacy and feasibility of locking plate and intramedullary nail internal fixation with early rehabilitation in elderly patients with proximal humeral fractures
摘要
Abstract
Objective To compare the clinical efficacy and feasibility of locking plate and intramedullary nail internal fixation with early rehabilitation in elderly patients with proximal humeral fractures.Methods We retrospectively analyzed the clinical data of elderly patients with proximal humeral fractures,including 25 and 20 persons receiving locking plate and intramedullary nail internal fixation(groups A and B),respectively.We compared the operation situation,length of hospital stay,fracture healing time,postoperative complica-tion incidence,postoperative serum inflammatory cytokine levels,postoperative pain score,shoulder joint function score,and quality of life score between the two groups.All patients received early rehabilitation after surgery.Results The operation time,length of hospital stay,fracture healing time,and intraoperative blood loss in group B were significantly shorter than those in group A(P<0.05).The C-reactive protein and procalcitonin levels on postoperative days 1 to 3 in group B were significantly lower than those in group A(P<0.05).The pain score 12 to 48 hours after the operation in group B was significantly lower than that in group A(P<0.05).The shoulder joint function and quality of life scores after the operation were significantly higher than those before the operation in both groups(P<0.05).Conclusion Locking plate and intramedullary nail internal fixation with early rehabilitation could effectively improve shoulder joint function in elderly patients with proximal humeral fractures.关键词
肱骨近端骨折/锁定钢板/髓内钉/早期康复治疗Key words
proximal humeral fracture/locking plate/intramedullary nail/early rehabilitation分类
医药卫生引用本文复制引用
韩新祚,亓攀,晋陶然,刘克敏,刘四海..锁定钢板与髓内钉内固定术联合早期康复治疗肱骨近端骨折老年患者的临床疗效及可行性[J].中国医科大学学报,2024,53(6):525-530,6.基金项目
首都卫生发展科研专项(首发2020-2Z-6013) （首发2020-2Z-6013）
