垂直双锁定加压钢板与传统单锁定加压钢板治疗肱骨干下段骨折的临床疗效

The clinical curative effects of vertical double locking compression plate and traditional single locking compression plate in the treatment of the distal humeral shaft fracture

目的探讨垂直双锁定加压钢板(LCP)与传统单LCP治疗肱骨干下段骨折的临床疗效。方法我院收治的80例肱骨干下段骨折患者,其中34例行垂直双LCP手术治疗(观察组),46例行传统单LCP手术治疗(对照组)。比较两组手术一般情况、术后并发症发生率及主动功能锻炼时间。术后随访12个月,使用Constant-Murley肩关节功能评分及改良Cassebaum评分评价患者肩、肘关节功能情况。结果两组手术一般情况比较差异无统计学意义(P>0.05),观察组并发症发生率低于对照组,术后主动功能锻炼时间早于对照组(P<0.05);随访12个月,观察组Constant-Murley肩关节功能评分及改良Cassebaum评分优良率高于对照组(P<0.05)。结论应用垂直双LCP治疗肱骨干下段骨折内固定牢靠,术后可早期功能锻炼,并发症发生率低,肩、肘关节功能恢复较好。

Objective To investigate the clinical curative effects of vertical double locking compression plate(LCP)and traditional single LCP in the treatment of distal humeral shaft fractures.Methods A retrospective analysis was performed on 80 patients with distal humeral shaft fractures who underwent surgery in our hospital.Of the patients,34 patients underwent vertical double LCP(observation group)and 46 patients underwent traditional single LCP surgery(control group).The general condition,incidences of postoperative complications and active functional exercise time were compared between the two groups.After 12 months of follow-up,the shoulder and elbow joints function was evaluated by the Constant-Murley shoulder function score and the modified Cassebaum score.Results There was no significant difference in the general condition between the two groups(P>0.05).The incidence of complications was significantly lower and the postoperative active functional exercise time was significantly earlier in the observation group than those in the control group(P<0.05).After 12 months of follow-up,Constant-Murley shoulder function score and improved Cassebaum score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The internal fixation of distal humeral shaft fracture with the application of vertical double LCP is reliable.The early functional exercise can be performed after surgery with low incidence of complications and the function recovery of shoulder and elbow joints is good.