中西医结合治疗肱骨近端骨折畸形愈合

Chinese traditional medicine combined with western medicine treatment for proximal humerus malunited fracture

[目的]探讨中西医结合治疗肱骨近端骨折畸形愈合的临床疗效。[方法]29例肱骨近端骨折畸形愈合，其中男24例，女5例。患者平均年龄41．6岁（21—53岁）。按Neer分类法，2部分骨折20例，3部分骨折9例。所有患者均采用中西医结合治疗并作功能锻炼，采用切开复位、LPHP内固定治疗，术后使用传统中药外洗。[结果]29例均获得随诊，X线片观察骨折愈合时间9．6周（8—12周）。按照Neer评分标准，功能优23例，良4例，中2例，优良率为93．1％。[结论]对于肱骨近端骨折畸形愈合，使用LPHP具有微创、固定可靠、并发症少、骨折愈合率高等优点：中药外洗促进肩关节功能的恢复．中西医结合治疗是恢复息肩关节功能的有效方法。

[ Objective]To investigate the clinical result of the Chinese traditional medicine combed with western medicine treatment for proximal humerus malunited fracture. [ Method ] Twenty-nine patients including 24 men and 5 women with malunion of proximal humerus were treated with the locking proximal plate. The average age of patients was 41.6 years old （from 21 to 53 years old）. According to Neet classification on X ray, 20 cases were two-part fractures and 9 cases were three-part fractures. These patients were treated by combination of Chinese traditional and western medicine, with the help of the functional training. All patients with proximal humerus malunited fracture were treated by operations with locking proximal humerus plate. A herbal bath was used to bathe after surgery. [ Result] All 29 cases were available for follow-up. The average time for bony union on X ray was 9.6 weeks （from 8 to 12 weeks）. Nonunion was not found in all cases. According to the Neer scoring system, there were 23 excellent cases, 4 good case and 2 fair case. The excellent and good rate was 93.1%. ~ Conclusion] In dealing with proximal humerns malunited fracture, the advantages of the locking proximal humerus plate axe minimally invasive with reliable fixation, few complication and the high bone union rate. A herbal bath can fasten recovering the function of the shoulder. Chinese traditional medicine combined with western medicine treatment can make satisfactory result and it is an effective method to recover the function of the shoulder.