解剖锁定钢板辅助复位治疗肱骨近端骨折

The anatomical locking plate assisted reduction for treatment of proximal humeral fractures

目的探讨肱骨近端解剖锁定钢板(PHALP)辅助治疗肱骨近端骨折复位的疗效。方法对22例肱骨近端骨折应用PHALP辅助复位固定。术后定期摄X线片复查评价骨折愈合情况,采用肩关节Neer评分评价肩关节功能。结果患者均获得随访,时间8~30个月。X线片提示患者骨折在术后6个月皆达到影像学愈合标准。术后6个月肩关节功能Neer评分为65~95分,其中优5例,良11例,可4例,差2例。结论应用PHALP辅助复位治疗肱骨近端骨折,固定稳定,效果良好。

Objective To explore the effect of proximal humeral anatomical locking plate （ PHALP） assisted reduction for treatment of the proximal humeral fracture.Methods The 22 cases of proximal humeral fracture were treated with PHALP assisted reduction and fixation.X-ray was used to examine and evaluate the healing of fracture postoperative regularly.Neer shoulder score was used to evaluate shoulder joint function.Results All patients were followed up for 8~30 months.X-ray showed that the fractures were healed and reached imaging healing criterion in 6 months after operation.The Neer score of shoulder function was 65 ~95 points at the sixth month after operation , among which 5 cases were excellent , 11 good,4 fair, and 2 poor.Conclusions With PHALP assisted reduction , the proximal humeral fracture can achieve stable fixation and effective results.