锁定接骨板治疗肱骨近端复杂骨折

目的探讨肱骨近端锁定接骨板（LPHP）治疗肱骨近端复杂骨折的临床疗效。方法回顾分析本院2003年1月至2005年10月采取LPHP治疗31例肱骨近端复杂骨折。按Neer分型，3部分骨折22例；4部分骨折9例。结果31例经5～13月随访．无1例发生内固定松动、断裂，全部骨折均愈合。肩关节功能按照Constant评分标准，功能优9例，良18例，中4例，优良率87．1％。结论LPHP治疗肱骨近端复杂骨折固定可靠、骨折愈合率高、可行早期功能锻炼，功能恢复好。

Locking proximal humerus plate in treatment of complex proximal humerus fractures

Objective To investigate the clinic results of application of locking proximal humerus plate in the treatment of complex fractures of the proximal humerus. Methods From Jan.2003 to Dec.2005,31 cases of complex fractures of the proximal humerus treated with locking proximal humerus plate were retrospectively analysed. According to Neer classification, there were 22 cases with three-part fractures and 9 cases with four-part fractures, Results The follow-up ranged from 5 months to 13 months, all cases experienced bone union, without internal fixation loosing and breakdown, By Constant scoring system,there were 9 excellent cases,18 good cases and 4 fair cases,The excellent and good rate was 87.1%. Conclusion Application of locking proximal humerus plate can result in more reliable fixation,higher bone union rate, earlier rehabilitation and better functional recovery, in treatment of complex fractures of the proximal humerus .