肱骨近端骨折治疗的研究进展

大多数肱骨近端骨折采用非手术治疗常能获得良好的功能疗效,移位骨折治疗有多种治疗方式,包括经皮穿针、髓内钉、钢板、肩关节置换。任何一种治疗方式都需要严格的病例筛选和外科操作才可以有效地减少相关并发症。在一些复杂病例中,锁定钢板可改善骨折的稳定性,有利于早期的术后康复,已往只能通过半关节置换术治疗的骨折类型现在可以通过锁定钢板成功治愈。治疗方案的制订应基于患者、损伤特点和外科医师的经验综合考虑。

Research Progress of Treatment of Proximal Humerus Fractures

The majority of proximal humerus fractures are treated nonoperatively with good functional results.Multiple options exist for treating displaced fractures,including percutaneous pins,nails,locking plates,and hemiarthroplasty.Complications of any of the above mentioned methods can be reduced effectively only when undertaken with appropriate patient selection and careful surgical technique.Locked plating may improve fracture stability in some complex patterns and facilitate early rehabilitation.It is possible that some fractures which can only be treated with hemiarthroplasty previously can be healed successfully with locking plates.Decision-making on the solution options should be based on patient and injury specifics and surgeon′s experience.