肱骨近端锁定钢板治疗肱骨近端粉碎性骨折的短期随访研究

A short term analysis on of therapeutic effects of locking proximal humerus plate for the treatment of comminuted fractures of proximal humerus

目的探讨肱骨近端锁定钢板治疗肱骨近端粉碎性骨折的短期疗效,为临床应用提供依据。方法总结2008年8月～2009年12月20例使用LPHP治疗的肱骨近端粉碎性骨折患者资料,使用Consta-nt-Murley(C-M)肩关节评分标准进行疗效评定。结果术后所有患者切口I期愈合,所有患者定期随访,分别在术后3、6和12个月,随访时间12～26个月,平均13.15个月。18例于术后5～8个月获得骨性愈合。术后3、6与12个月C-M肩关节评分比较,差异无统计学意义,其中优7例,良6例,一般5例,差2例。结论 LPHP治疗肱骨近端粉碎性骨折,短期疗效显著。

Objective To investigate the short-term curative effects of locking proximal humerus plate for the treatment of comminuted fractures of proximal humerus,and provide evidences for the clinical practice.Methods From August 2008 and December 2009,20 patients with comm inuted fractures of proximal humerus were treated with locking plates,Outcomes were assessed with radio graphy and the Constant-Murley（C-M）shoulder evalution.Results All the patients got primary healing of incisions.Twenty patients were followed up,and the duration ranged from 12 to 26 months,with an average of 13.15 months.Eighteen patients had fracture healing during 5 to 8months after operation.There was no significant differences among 3,6 and 12 months after operation in C-M scoring.There were 7 cases got an excellent result,6 good,5 fair,and 2 poor.Conclusion The short-term curative effect of the locking proximal humerus plate in the treatment of proximal humeral fractures is significant.