PHILOS锁定钢板与髓内钉治疗297例肱骨近端骨折患者的疗效对比研究

目的 对比PHILOS锁定钢板和髓内钉内固定手术治疗肱骨近端骨折的临床疗效.方法 回顾性分析2015年1月至2019年1月期间因肱骨近端骨折于本院骨科行手术治疗的患者297例,根据手术方法分为PHILOS组(n=150)和髓内钉组(n=147),收集患者手术时长,住院总时长,平均切口长度,术中输血率,术后6h、12h、...

A comparative study of the clinical effect of PHILOS locking plate and intramedullary nail in the treatment of 297 proximal humerus fracture patients

Objective To compare the clinical effect of PHILOS locking plate and intramedullary nail in the treatment of proximal humerus fracture. Methods Retrospectively analyzed 297 patients with proximal humeral fracture and suffered surgery in our hospital during the period of January 2015 to January 2019.According to the operation methods patients were divided into PHLIOS group (n=150) and the intramedullary nailing group (n=147). The patient surgery time, the average length of incision, intraoperative blood transfusion rate, pain visual analogue scale (VAS) of postoperative 6 h, 12 h, 24 h and 36 h and 72 h, the total duration of perioperative nosocomial infection rate and hospitalization time were collected. At the same time, follow-up was conducted, and the Constant-Murley shoulder function score and postoperative complications were collected in 6, 12 and 24 months after surgery. Results The length of operation, total length of hospital stay, mean incision length, intraoperative blood transfusion rate, nosocomial infection rate, 6 h, 12 h postoperative VAS and postoperative acromial impingement complications in the PHILOS group were significantly higher than those in the intramedullary nail group (P<0.05). In terms of the postoperative 24, 36, 72 h VAS, fracture re-displacement, internal fixation fracture, humeral head necrosis complications, and postoperative Constant-Murley shoulder functional score, there were no statistically significant differences between the two groups (P>0.05). Conclusion Both PHILOS locking plate and intramedullary nail can achieve good results in the internal fixation of proximal humerus fractures, but considering the complications and the degree of intraoperative injury, intramedullary nail is more appropriate.