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肱骨近端锁定钢板治疗老年肱骨近端骨折的临床分析 被引量:3

Clinical Analysis of the Treatment of Proximal Humeral Locking Plate of Proximal Humerus Fractures in Elderly
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摘要 目的:对肱骨近端锁定钢板治疗老年肱骨近端骨折的临床分析效果进行分析。方法以我院2011年4月~2014年4月接收的108例老年肱骨近端骨折患者为对象,根据Neer分型对患者骨折部分进行分型,其中Ⅱ型骨折48例,Ⅲ型骨折50例,Ⅳ型骨折10例。所有患者均行肱骨近端锁定钢板治疗,通过Neer评分对患者治疗效果进行评定。结果治疗后对所有患者进行4~10个月的随访,结果显示所有患者骨折情况均得到愈合,且无畸形发生,在总体愈合优良率方面达98.1%;骨折愈合时间9~11周;所有病例均未产生感染、神经损伤等并发症。结论肱骨近端锁定钢板治疗老年肱骨近端骨折不仅愈合率高,且康复时间短,较少发生术后并发症,对复位丢失情况能够有效防止,使板下血运和骨折愈合得到保护。 Objective To evaluate and observe functional outcome of locking proximal humeralplate(LPHP)used for fixationof the proximal humerus fractures in elderly.Methods In 108 cases of proximal humerus in elderly hospital in April 2011 to April 2014 received fractures were targeted,according to neer classification of fractures were classified in some patients,including 48 cases of fracture type Ⅱ,Ⅲ fracture 50 cases,ⅳ fractures in 10 cases. Al patients underwent treatment of proximal humeral locking plate by neer scores were assessed for treatment effect.Results After treatment,al patients 4 to 10 months of folow-up,results showed that al patients have received bone fractures healed and no deformity occurs in good overal healing rate of 98.1 percent, fracture healing time of 9 to 11 weeks,in al cases no complications of infection,nerve injury.Conclusion Locking proximal humeral plateosteosynthes is leads to satisfactory functional outcomes in proximal humerus fractures,which is aless complications,early functional exercise,effective therapeutic method.
作者 施云东
机构地区 吉林市人民医院
出处 《中国卫生标准管理》 2015年第14期38-40,共3页 China Health Standard Management
关键词 肱骨近端锁定钢板 肱骨近端骨折 治疗效果 临床分析 老年 骨折愈合时间 骨折患者 术后并发症 Elderly proximal humerus fractures Proximal humeral locking plate Treatment Clinical analysis
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