肱骨近端移位骨折的治疗及康复

Treatment and Rehabilitation of Displaced Proximal Humeral Fracture

目的 探讨肱骨近端移位骨折的治疗方法及效果。方法 对近 5年来诊治的 43例肱骨近端移位骨折患者进行回顾性分析 ,非手术治疗 12例 ,手术治疗 3 1例。结果 本组患者随访时间 6个月～ 3年 ,均临床愈合 ,3例发生肱骨头坏死。按黄公怡肩关节评分标准进行治疗效果评估 ,手术组和非手术组的肩关节功能优良率分别为 80 6%和 75 %。结论 对肱骨近端移位骨折应根据不同的骨折类型和患者的全身情况来选择不同的治疗方法 。

Objective To investigate the method and efficacy of treatment of displaced proximal humeral fracture. Methods The clinical data of 43 patients with displaced proximal humeral fracture underwent diagnosis and treatment in the latest 5 years were analysed retrospectively. Among them, twelve cases received conservative treatment and 31 cases were treated by operation. Results All patients had clinical union of humeral fracture during the follow up period of 6 months to 3 years. The necrosis of humeral head happened in 3 cases. The excellent and good rates of shoulder joint function were 80 6% in operation group and 75% in conservative group according to Gongyi Huang's assessment standard. Conclusion The treatment method should be chosen according to types of the humeral fracture and general condition of the patients. The main purpose of the treatment is to regain shoulder joint function.