锁定接骨板治疗肱骨近端骨折

Internal Fixation of Proximal Humeral Fractures with Locking Plate

目的:探讨锁定钢板治疗肱骨近端骨折的临床疗效。方法:2005年3月～2010年3月应用锁定钢板(包括肱骨近端锁定钢板或肱骨近端锁定内固定系统)治疗肱骨近端骨折43例,按Neer分型2部分骨折20例,3部分骨折19例,4部分骨折4例。随访评定包括X线片、Neer肩关节功能评分标准。结果:43例患者获得平均14.2个月(9～21个月)临床随访,骨折全部愈合,愈合平均时间10.4周(8～12周)。根据Neer肩关节功能评分标准:优19例,良19例,可5例,优良率88.4%。结论:锁定钢板治疗肱骨近端骨折具有手术创伤小、操作方便、固定可靠的优点,允许早期功能锻炼,疗效满意。

Objective： To evaluate the clinical results of proximal humeral fractures treated by locking plate. Methods： From March 2005 to March 2010,43 cases of proximal humeral fractures were treated with open reduction and internal fixation with Locking plate. According to Neer classification, 20 cases were two-part fractures,19 cases three-part fractures and 4 cases four-part fractures. The clinical results were evaluated by using Neer＇S evaluation system and X-ray films. Results： 43 cases were followed up for average 14.2 months（9-21 months）. All fractures got complete healing, the mean time for bony union was 10.4 （8- 1 2）weeks. According to Neer＇S evaluation system： 19 patients were graded as excellent, 19 as good, 5 as fair. The excellent and good rate was 88.4%. Conclusions： Inter fixation of proximal humeral fractures with locking plate has the advantages of less invasive, easy operation, stable fixation, which permit early functional rehabilitation and lead to satisfactory clinical results.