锁定接骨板和解剖接骨板治疗老年肱骨近端骨折的效果及安全性对比

Comparison on the Effect and Safety between Locking Plate and Anatomical Plate in the Treatment of Senile Proximal Humeral Fractures

目的比较采用锁定接骨板和解剖接骨板治疗老年肱骨近端骨折的效果及安全性。方法选取我院2012年1月至2015年12月收治的68例老年肱骨近端骨折患者,随机分为研究组和对照组各34例。研究组采用锁定接骨板治疗,对照组采用解剖接骨板治疗。对比两组患者的疗效及安全性。结果研究组的术中出血量、手术时间和VAS评分均显著优于对照组(P<0.05)。研究组的Neer评分和Constant评分显著高于对照组(P<0.05)。研究组的并发症发生率为14.71%,显著低于对照组的47.06%(P<0.05)。结论采用锁定接骨板治疗老年肱骨近端骨折患者的效果优于解剖接骨板,可降低并发症发生率,具有较高的安全性。

Objective To compare the effect and safety between locking plate and anatomical plate in the treatment of senile proximal humeral fractures. Methods 68 cases of elderly patients with proximal humeral fractures admitted to our hospital fi＇om January 2012 to December 2015 were selected and randomly divided into study group and control group, with 34 cases in each group. The study group was treated with locking plate, while the control group was treated with anatomical plate. The curative effect and safety were compared between two groups. Results The intraoperative blood loss, operation time and VAS score of study group were significantly better than those of control group （P〈0.05）. The Neer score and Constant score of study group were significantly higher than those of control group （P 〈0.05）. The incidence of complications of study group was 14.71%, significantly lower than 47.06% of control group （P 〈0.05）. Conclusions The effect of locking plate in the treatment of elderly patients with proximal humeral fractures is better than that of anatomical plate. Locking plate can reduce the incidence of complications, with higher safety.