双钢板与锁定钢板在复杂肱骨近端骨折治疗中的疗效比较

目的 比较双钢板与锁定钢板治疗复杂肱骨近端骨折的临床疗效.方法 选取2015年01月至2020年01月昆明医科大学第四附属医院骨与创伤外科收治的57例接受手术切开复位内固定治疗并符合纳入标准的肱骨近端骨折患者.按固定方式的不同,分为双钢板组(A组,28例)和锁定钢板组(B组,29例),比较2组患者手术情况、治疗效果、术...

Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures

  Objective  To compare the clinical efficacy of double plates and locking plates in the treatment of complex proximal humerus fractures.   Methods  Fifty-seven patients admitted to the Department of Bone and Trauma Surgery of the Fourth Affiliated Hospital of Kunming Medical University from 01 2015 to 01 2020 who underwent surgical incisional reduction and internal fixation treatment and met the inclusion criteria for proximal humerus fractures were selected. According to the different fixation methods, they were divided into the double plate group （group A, 28 cases） and the locked plate group （group B, 29 cases）, and the clinical efficacy of the 2 groups was comprehensively evaluated by comparing the indices of surgery, treatment effect, postoperative functional recovery and the occurrence of complications.   Results  The operating time, intraoperative bleeding, intraoperative fluoroscopy time, and postoperative incisional drainage were worse in group A than in group B （P < 0.05）, but the postoperative loss of neck stem angle, humeral head inversion angle, loss of humeral height, Constant function score, and VAS score were better in group A than in group B （P < 0.05）; there was no significant difference in the overall postoperative complication rate （P > 0.05 ）.   Conclusion  Both double plates and locking plates can effectively treat complex proximal humerus fractures, but double plates are more effective in terms of fixation stability and functional recovery, and are more suitable for treating patients with complex fracture types, severe comminution, and incomplete medial column support.