摘要
目的比较孤立性肱骨大结节骨折手术治疗与保守治疗的中期疗效差异。方法回顾性分析2015年1月-2017年12月收治的45例肱骨大结节骨折患者,依据治疗方式的不同,分为手术治疗组22例,保守治疗组23例,收集并发症、Constant-Murley肩关节功能评分、VAS疼痛评分、骨折愈合时间、肩关节力量等数据,进行统计分析。结果两组在Constant-Murley评分、VAS疼痛评分、并发症及肩关节力量数据方面无统计学意义(P>0.05),在骨折愈合时间、功能恢复时间及医疗费用上具有统计学意义(P<0.05)。结论对于肱骨大结节骨折(3 mm<移位<5 mm),保守或手术治疗都能很好地缓解患者的疼痛,恢复患肢肩关节功能,帮助患者返回最初的工作岗位。但保守治疗在节省医疗费用的前提下,能缩短功能康复时间,缩短骨折愈合时间,避免了二次手术风险。
Objective Comparison of mid-term effects of surgical treatment and conservative treatment of solitary humeral nodule fractures.Methods A retrospective analysis of 45 patients with large humeral tuberosity fractures admitted in our hospital from January 2015 to December 2017 was divided into surgical treatment group(22 cases)and conservative treatment group(23 cases).Collect data such as complications,Constant-Murley score,VAS pain score,fracture healing time,and shoulder joint strength for statistical analysis.Results There was no statistical significance in the Constant-Murley Shoulder function score,VAS pain score,complications,and shoulder strength data between the two groups(P>0.05).Statistically significant in fracture healing time,functional recovery time,and medical costs(P<0.05).Conclusion For the fracture of the greater tuberosity of the humerus(3 mm<displacement<5 mm),conservative or surgical treatment can well relieve the pain of the patient,restore the function of the affected limb and shoulder joint,and help the patient return to the original job.However,under the premise of saving medical expenses,conservative treatment can shorten the functional recovery time,shorten the fracture healing time,and avoid the risk of secondary operations.
作者
唐富永
魏凌峰
陈允周
喻永新
尚如国
TANG Fuyong;WEI Lingfen;CHN yunzhou;YU Yongxin;SHANG Ruguo(Guangzhou Orthopaedic Hospital,Guangzhou 510000,China;不详)
出处
《现代医院》
2021年第6期965-968,共4页
Modern Hospitals
基金
广东省医学科学技术研究基金项目(B2018241)。
关键词
肱骨大结节骨折
手术治疗
保守治疗
肩关节脱位
Fracture of the greater tuberosity of the humerus
Surgical treatment
Conservative treatment
Dislocation of shoulder