肱骨近端锁定钢板治疗肱骨近端骨折

Treatment of Proximal Humeral Fracture with Locking Steel Plates

目的：探讨肱骨近端锁定钢板治疗肱骨近端骨折的手术方法及疗效。方法：2005年2月至2008年2月应用肱骨近端锁定钢板治疗肱骨近端骨折51例，按Neer分型进行分类[1]：二型19例、三型17例、四型15例，全部采用患侧切开复位肱骨近端锁定钢板内固定术。结果：术中无血管、神经损伤；术后钢板无断裂、松动，无骨不连发生。本组病例46例获得有效随访，随访时间6～36个月，平均21个月，愈合时间3～6月，平均4月。患肢功能按Neer功能评定标准[2]评定，结果优良率：二型94．1％，三型82．4％，四型58．3％。结论：肱骨近端锁定钢板治疗肱骨近端骨折疗效可靠，功能恢复好，是治疗肱骨近端骨折的一种较好内固定方法。

Objective： To discuss the clinical treatment of proximal humeral fracture with locking proximal humerus plates （LPHP）. Methods： From February of 2005 to February of 2008, 51 cases of proximal humeral fracture were treated with open-reduction and internal fixation by LPHP. There were 19 cases of Neer type II, 17 cases of Neer type III, and 15 cases of Neer type IV. All the cases were treated with open-reduction and internal fixation by LPHP. Results： None had intra-operative injury to nerves and blood vessels. Follow-ups from 6 to 36 （mean 21） months showed the good to excellent rate being94.1%, 82.4%,58.3% in these 5 l cases from typeII to III by Neer criteria, The healing duration lasted 3 to 6 （averaging 4） months. No infection, sliding or loosening for internal fixation, nonunion or re-dislocatin was found postoperatively. Conclusion： LPHP is an effective and advanced surgical treatment of proximal humeral fracture, its operation can provide study fixation and lead to good functional recovery.