成人肱骨近端骨折治疗进展

Progress in the Treatment of Proximal Humeral Fracture in Adults

近年来,肱骨近端骨折发生率不断上升,是目前临床上创伤骨科治疗的难点,尚无固定统一的治疗方式.根据肱骨近端骨折临床分型不同可采取不同的治疗方式,包括非手术治疗和手术治疗,其中手术治疗主要包括经皮微创内固定术、切开复位钢板内固定术、髓内钉技术、肩关节置换术.本文针对上述治疗方式的优缺点、适应证、进展等进行综述.

In recent years,the incidence of proximal humeral fracture is increasing,which is a difficulty in clinical orthopaedic trauma treatment.At present,there is no fixed and unified treatment method.According to the clinical classification of proximal humeral fracture,the treatment methods are different,including non-surgical treatment and surgical treatment.Surgical treatment mainly includes percutaneous minimally invasive internal fixation,open reduction and plate internal fixation,intramedullary nail technology,shoulder replacement.In this paper,the advantages and disadvantages,indications and progress of the above treatment methods are reviewed.