内固定加骨水泥治疗老年性肱骨外科颈三部分或四部分骨折的临床研究

Clinical study on internal fixation with bone cement for the treatment of three or four part humeral surgical neck fracture in aged patients

目的研究内固定加骨水泥治疗老年性肱骨外科颈三、四部分骨折的临床疗效。方法选取2015年5月至2017年1月于本院治疗的60岁以上(包括60岁)肱骨外科颈三、四部分骨折患者36例,根据患者意愿分为骨水泥组(18例)和内固定组(18例)。骨水泥组在有限切开内固定基础上加灌骨水泥治疗,内固定组仅有限切开内固定治疗。治疗后按Neer肩关节评分标准评估疗效。结果 36例均获随访,骨水泥组与内固定组在Neer评分和临床疗效上差异均具有统计学意义(P<0.05)。结论空心螺钉内固定加骨水泥是治疗老年性肱骨外科颈三、四部分骨折的一种较好方法。

Objective To study the clinical efficacy of internal fixation with bone cement for the treatment of three or four part humeral surgicalneck fracture in aged patients.Methods36aged patients(including and above60years old)with three or four part humeral surgical neck fracturetreated in our hospital from May2015to January2017were divided into bone cement group(18patients)and internal fixation group(18patients).Bone cement group patients were treated with perfusion of bone cement on the basis of limited open reduction and internal fixation.Internal fixationgroup only treated with limited open reduction and internal fixation.The curative effect were evaluated according to Neer score of shoulder joint aftertreatment.Results All patients were followed up,and the differences of Neer score and clinical efficacy have statistical significance(P<0.05).Conclusion Hollow screw Internal fixation with bone cement is a better method for the treatment of three or four part humeral surgical neck fracturein aged patients.