肱骨近端锁定加压钛板治疗老年肱骨外科颈骨折的疗效观察

目的：探讨应用肱骨近端锁定加压钛板系统治疗老年肱骨外科颈骨折的疗效。方法总结2007年8月至2012年8月采用肱骨近端锁定加压钛板系统切开复位治疗老年肱骨外科颈骨折32例的临床资料，男13例，女19例；年龄59～78岁，平均66.7岁；Neer分型，二部分骨折7例，三部分骨折16例，四部分骨折9例。结果术后X线显示钛板螺钉位置良好，骨折复位满意，无神经血管损伤。手术时间平均（58±24）min，术中出血量平均（135±28）ml。根据Neer肩关节功能评分系统进行评分，优21例，良8例，可2例，差1例，优良率达90.6％。结论肱骨近端锁定加压钛板具有置钉角度科学、固定可靠、可早期行功能锻炼等优点，较适用于老年骨质疏松粉碎性肱骨外科颈骨折的治疗。

Clinical effect of humerus surgical neck fracture in elders with locking compression proximal humerus plate

Objective To investigate the clinical effect of locking compression proximal humerus plate fixation for aged patients with humerus surgical neck fractures. Methods From August 2007 to August 2012, 32 aged patients with humerus surgical neck fractures (13 males, 19 females, with the mean age of 66.7 years old) underwent open reduction in-ternal fixation with locking compression proximal humerus plate. According to Neer classification, 7 cases of two parts frac-ture, 16 cases of three parts fractures and 9 cases of four parts fractures were included. Results The mean operation time was (58±24)min, the blood loss was (135±28)ml. According to the Neer criteria, the treatment results were excellent in 21 cases, good in 8 cases, fair in 2 cases and poor in 1 case. The rate of excellent and good effect was 90.6%. Conclusion Treatment of humerus surgical neck fracture in aged patients with locking compression plate can obtain reliable reduction, and with less complications and satisfactory therapeutic effect.