肩关节半关节置换治疗肱骨近端复杂性骨折方法及效果分析

Treatment of Complicated Proximal Humeral Fractures with Shoulder Hemiarthroplasty and Its Effectiveness

目的探讨肩关节半关节置换用于治疗肱骨近端复杂性骨折的手术方法与治疗效果。方法整群收集2013年1月—2014年6月该院收治的肱骨近端复杂性骨折患者84例,随机分为A组与B组,各42例。A组行肩关节半关节置换治疗,B组行肱骨近端锁定钢板内固定治疗,比较分析两组的治疗效果。结果 A组术后Neer评分及肩关节活动度均显著高于B组(P<0.05);A组的Neer评分系统优良率为90.48%,显著高于B组的78.57%(P<0.05);A组无明显并发症,与B组的16.67%比较差异有统计学意义(P<0.05)。结论肩关节半关节置换用于治疗肱骨近端复杂性骨折具有显著疗效,术后关节功能恢复满意,值得推广应用。

Objective To study the treatment of complicated proximal humeral fractures with shoulder hemiarthroplasty and its effectiveness. Methods 84 patients with complicated proximal humeral fractures admitted to our hospital between January 2013 and June 2014 were randomized into group A(n=42) and group B(n=42) to undergo either shoulder hemiarthroplasty or internal fixation using proximal humeral locking plate. The effectiveness of the two methods was compared. Results The postoperative Neer scores and ROM of shoulder were significantly higher in the group A than in the group B, P<0.05; the excellent and good rate according to Neer scores were significantly higher in the group A than in the group B(90.48% vs 78.57%, P<0.05); no complication was found in the group A, which was significantly different with the group B with complication rate of 16.67%, P<0.05. Conclusion Shoulder hemiarthroplasty is worthy of promotion in treating complicated proximal humeral fractures because of its good effectiveness and satisfactory recovery of joint function.