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肱骨近端锁定钢板治疗骨质疏松性肱骨近端骨折的近期疗效
引用本文:吴连国,史晓林,陆建阳,黄俊俊,宋小平.肱骨近端锁定钢板治疗骨质疏松性肱骨近端骨折的近期疗效[J].中国中医骨伤科杂志,2007,15(5):6-8.
作者姓名:吴连国  史晓林  陆建阳  黄俊俊  宋小平
作者单位:1. 浙江中医药大学附属第二医院骨科,杭州,310005
2. 浙江省富阳市中医骨伤科医院
摘    要:目的:评价肱骨近端锁定钢板治疗骨质疏松性肱骨近端骨折的近期疗效。方法:21例肱骨近端骨折,其中男13例,女8例。患者平均年龄67.6岁(57岁~82岁)。按Neer分类法:二部分骨折3例;三部分骨折12例;四部分骨折6例。术后肩关节功能采用Neer评定系统进行疗效评价。结果:术后随访3~10个月,平均6个月,21例患者全部得到随访。按照Neer评分标准:11例优,7例满意,3例不满意;满意率85.7%。结论:肱骨近端锁定接骨板治疗肱骨近端骨折固定可靠、可提供早期功能锻炼、术后功能恢复满意,对老年骨质疏松性肱骨近端骨折是一种有效的治疗方法。

关 键 词:肱骨近端骨折  肱骨近端锁定钢板  骨质疏松症  内固定术
文章编号:1005-0205(2007)05-0006-03
收稿时间:2006-09-30
修稿时间:2006年9月30日

The Short-Term Follow-Up of locking Proxinal Humera Plate for the Treatment of Proximal Humeral Fractures with Osteoporosis
WU Lianguo,SHI Xiaolin,LU Jianyang,HUANG Junjun,SONG Xiaoping.The Short-Term Follow-Up of locking Proxinal Humera Plate for the Treatment of Proximal Humeral Fractures with Osteoporosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2007,15(5):6-8.
Authors:WU Lianguo  SHI Xiaolin  LU Jianyang  HUANG Junjun  SONG Xiaoping
Institution:1Department of Orthopaedics, Second Affiliated Hospital of Zhejiang University of TCM, Hangzhou 310005,China
Abstract:Objective:To evaluate the short-term reffects of the proxima humerus locking plate for osteoporosis fractures of proximal humerus.Methods:21 patients including 13 men and 8 women with proximal humerus fractures were treated by the locking proximal plate.The average age of patients was 67.6 years old(raging from 57 to 82 years old).According to Neer classification,3 cases were two-part fractures,12 cases weret hree-part fractures and 6 cases were four-part fractures.Final results of all the patients were evaluated according to the Neer scoring system.Results:All the patients were followed up.The mean duration of follow-up was 6 months,raging from 3 to 10 months.According to the Neer scoring system,there were 11 excellent cases,7 good cases and 3 fair cases.The excellent and good rate was 85.7%.Conclusion:The treatment of the proximal humerus fractures with the locking proximal humerus plate has the advantages of stable fixation,earlier rehabilitation,and satisfactory functional recovery.It is an effective method to treat proximal humeral fracture for the aged patients with osteoporosis.
Keywords:Proximal humerus fractures  Locking proxinal humera plate  Osteoporosis
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