30例零位牵引治疗肱骨近端骨折临床观察

Clinical Study of Traction in Zero Angle Position for the Treatment of 30 Cases with Proximal Humeral Fractures

目的:观察零位牵引治疗肱骨近端骨折临床效果。方法:30例肱骨近端骨折闭合复位后,进行零位牵引,以3周检查后决定是否拆除,胸前位再固定1周后,开始肩关节的功能锻炼,采用Neer标准评定肩关节功能。结果:30例患者通过零位牵引治疗后,优22例(73.3%),满意6例(20%),不满意2例(16.7%),失败0例(0%)。结论:零位牵引方法的优点是解除牵引后肩关节能够快速恢复至正常功能位,病人痛苦少,无需手术,是较为简便,又确实可行的保守治疗方法之一。

Objective：To observe the clinical effect of traction in zero angle position for treatment of 30 cases of proximal humeral fracture（PHF）.Method：A total of 30 cases with PHF were treated with close manipulative reduction at first,and then received traction in zero angle position for 3 weeks after operation.Next,fixation in anterior thoracic position was performed for a week and then the patients received functional exercise for shoulder joint.Shoulder function was evaluated according to Neer standard.Results：After treatment,excellent effect was observed in 22 cases（73.3%）,good effect in 6 cases（20%）,and no effect in 2 cases（16.7%）.Conclusion：Traction in zero angles is an effective,simple and nonsurgical treatment for PHF,which can ensure rapid shoulder joint function recovery.