肱骨近端锁定加压钢板治疗肱骨近端骨折的疗效The effect of proximal humeral locking plate in treating proximal humeral fractures
曾勉东;谢景开;杨波;张志;尹飚;
摘要(Abstract):
[目的]观察、评价肱骨近端锁定加压钢板(locking proximal humeral plate,LPHP)治疗复杂性老年肱骨近端骨折的疗效。[方法]回顾性分析2009年12月~2011年12月41例老年肱骨近端二部分以上骨折采用骨折切开复位结合锁定钢板内固定治疗的疗效,其中男13例,女28例,年龄49~82岁(平均67.5岁)。按Neer分类法:2部分骨折12例,3部分骨折22例,4部分骨折7例。[结果]41例均获随访,随访时间8~28个月(平均14个月),骨折均得到了愈合,随访肩关节功能按Neer功能评分标准,优13例,良21例,可4例,差3例,优良率达82.9%。有1例发生肱骨头缺血坏死,2例发生肩峰撞击综合征。[结论]锁定钢板针治疗老年性肱骨近端骨折固定可靠,并发症少,骨折愈合良好,便于早期功能锻炼,是一种有效的治疗方法。
关键词(KeyWords): 肱骨近端骨折;锁定钢板;手术治疗;老年人
基金项目(Foundation):
作者(Author): 曾勉东;谢景开;杨波;张志;尹飚;
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DOI:
参考文献(References):
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