交锁髓内钉与锁定钢板治疗肱骨近端骨折的疗效研究

目的 探讨交锁髓内钉与锁定钢板治疗肱骨近端骨折的近期疗效.方法 对2003年1月至2008年6月应用交锁髓内钉与锁定钢板治疗的36例肱骨近端骨折患者进行回顾性研究,男11例,女25例；年龄26～78岁,平均60.3岁.根据治疗方法不同分为交锁髓内钉组(21例)与锁定钢板组(15例).按Neer分型:交锁髓内钉组:Ⅱ型6...

Treatment of humerus surgical neck fracture with interlocking intramedullary nail versus locking plate

Objective To compare efficacy between the interlocking intramedullary nail and the locking plate in the treatment of humerus surgical neck fractures.Methods From January 2003 through June 2008,36 patients with humerus surgical neck fracture were randomized into an interlocking intramedullary nail group (21 cases ) and a locking plate group ( 15 cases).They were 11 males and 25 females,with an average age of 60.3 years (range,26 to 78 years).According to the Neer system,there were 6 cases of type Ⅱ,13 cases of type Ⅲ and 2 cases of type IV in the nail group,while there were 4 cases of type Ⅱ,8 cases of type Ⅲ and 3 cases of type IV in the plate group.The data of wound length,operative time,intra-operative blood loss,fracture healing time and functional recovery were recorded and analyzed statistically.Results The follow-up periods ranged from 6 to 24 months (average,15.3 months).There were significant differences between the 2groups( P ＜ 0.05 ) in wound length,operative time and intra-operative blood loss,but the average fracture healing time was not significantly different between the groups( P ＞ 0.05).The functional recovery was better in the intramedullary nail group than in the locking plate group but with no significance( P ＞ 0.05).Conclusion Although both theinterlocking intramedullary nail and the locking plate are similarly effective in the treatment of humerus surgical neck fractures,the former has an advantage in operative invasion and manipulative simplicity.