锁定钢板结合自体髂骨打压植骨固定治疗肱骨近端四部分骨折的临床效果

目的分析研究锁定钢板结合自体髂骨打压植骨治疗肱骨近端四部分骨折的临床疗效。方法对14例肱骨近端四部分骨折患者采用锁定钢板结合自体髂骨打压植骨固定治疗。结果 14例患者术后6个月经Neer功能评分,良7例,可5例,差2例,综合优良率85.71%。结论锁定钢板结合自体髂骨打压植骨固定治疗肱骨近端四部分骨折具有较高的复位满意度,且具有固定牢固、并发症少、患肢功能恢复快、恢复时间短等优势,患者在术后短期即可开始康复训练,提升了患者手术成功率。

Clinical effect of locking compression plate fixation and autogenous iliac bone grafting fixation in the treatment of proximal humerus four part fractures

Objective To analyze the clinical treatment effect of the locking compression plate fixation combined with autogenous iliac bone grafting in the treatment of proximal humerus four part fractures.Methods Fourteen patients with proximal humerus four part fractures received locking compression plate fixation combined with autogenous iliac bone grafting fixation for treatment.Results Six months after operation,the Neer function scores in 14 patients were as follows: excellent in 7 cases,good in 5 cases and poor in 2 cases with a comprehensive good rate of 85.71%.Conclusion Locking compression plate fixation combined with autogenous iliac bone grafting fixation in the treatment of proximal humerus four part fractures has advantages of high reduction and satisfaction rates with firm fixation,fewer complications,faster recovery of limb function,and shorter recovery time.Patients can start rehabilitation training in a short term after operation.The success rate of operation is greatly improved.