锁定钢板和传统钢板固定老年肱骨近端骨折的临床研究

Clinical Study of Conventional Plate and Locking Plate on Aged Proximal Humeral Fractures

目的探讨应用锁定钢板和传统钢板治疗老年患者肱骨近端骨折的疗效。方法 2006年6月～2010年10月,使用锁定钢板和传统钢板治疗肱骨近端骨折共82例,比较两组患者术中失血量、骨折愈合时间、手术时间、住院时间、术后并发症等及术后患肩Neer评分。结果两组患者术中失血量、骨折愈合时间、手术时间、住院时间、术后并发症发生率及患肩Neer评分,肱骨近端锁定钢板优于传统钢板,差异均有统计学意义(P<0.05)。结论锁定加压钢板治疗老年患者肱骨近端骨折具有较好的临床效果。

Objective To investigate effects of conventional plate and locking plate on aged proximal humeral fractures. Methods All of 82 cases of gerontal patient with proximal humeral fractures were treated with conventional plate and locking plate from June 2006 to October 2010. Operation time,blood loss,hospital days,fracture healing time,postoperative complications and Neer＇ s effect grading system of shoulder joints functions were contrasted between two groups. Results The operation time,fracture healing time, blood loss,hospital days,postoperative complications and Neer＇ s score of shoulder oints functions were prevalent in locking plate than conventional plate（P〈0.05）. Conclusion Locking plate on aged proximal humeral fractures, could obtain satisfactory curative effect.