锁定钢板治疗中老年肱骨近端骨折的疗效

Efficacy of locking plate for treatment of proximal humeral fracture in the middle-aged and elderly patients

目的探讨锁定钢板治疗中老年肱骨近端骨折的疗效。方法采用锁定钢板治疗46例中老年肱骨近端骨折患者。记录骨折复位情况、骨折愈合时间、肩关节活动度。采用Neer评分评价肩关节功能。结果患者均获得随访,时间6~12个月。术后X线片显示:43例解剖复位,3例功能复位。43例骨折正常愈合,时间3~6个月;3例因术中未解剖复位而导致骨折延迟愈合,骨折愈合时间6~12个月。末次随访时,肩关节活动度:前屈70°~85°,后伸35°~40°,内旋70°~85°,外旋40°~50°;采用Neer评分评价肩关节功能:优31例,良9例,可3例,差3例,优良率86.96%。结论采用锁定钢板治疗中老年肱骨近端骨折,操作简单,固定可靠,患者可早期功能锻炼,有利于恢复肩关节功能。

Objective To investigate the efficacy of locking plate for treatment of proximal humeral fracture in middle-aged and elderly patients.Methods The locking plate was used to treat 46 middle-aged and elderly patients with proximal humeral fractures.Fracture reduction,fracture healing time,shoulder range of motion were recorded.Shoulder function was evaluated using the Neer scores.Results All patients were followed up for 6~12 months.Postoperative X-rays film showed 43 cases of anatomic reduction and 3 cases of functional reduction.All 43 fractures healed normally,and the time was 3~6 months.Three cases had delayed healing due to without anatomical reduction during operation,and the fracture healing time was 6~12 months.At the last follow-up,the range of motion of the shoulder joint:anterior flexion was 70°~85°,posterior extension was 35°~40°,internal rotation 70°~85°,external rotation 40°~50°;Neer score was used to evaluate shoulder joint function:31 cases were excellent,9 cases were good,3 cases were good,3 cases were poor,and the excellent-good rate was 86.96%.Conclusions The use of locking plate to treat proximal humeral fracture in middle-aged and elderly patients is simple to operate,reliable fixation,and patients can do early functional exercise,which is conducive to restore shoulder joint function.