肱骨近端解剖型钢板治疗Ⅲ、Ⅳ型肱骨外科颈骨折

目的探讨肱骨近端解剖型钢板治疗（NeerⅢ、Ⅳ）型肱骨外科颈骨折的方法及临床疗效。方法应用肱骨近端解剖型钢板治疗（NeerⅢ、Ⅳ）型肱骨外颈骨折45例，Ⅲ型30例，Ⅳ型15例。结果45例经1～2年随访，根据术后肩关节Neer评分法，30例Ⅲ型优20例，良7例，可3例。优良率达90％，15例Ⅳ型骨折，优8例，良4例，可2例，差1例。优良率80％。结论（NeerⅢ、Ⅳ）型肱骨外科颈骨折应以钢板内固定手术治疗为好，肱骨近端解剖型钢板是理想的内固定方法。

Trentment of Humerus Surgical Neck Fracture (NeerⅢ、Ⅳ) with Proximal Humeral Anatomical Plate

Objective To explore the method and the clinical effective of Proximal humeral anatomical Plate to treat humerus surgical neck fractures （NeerⅢ、Ⅳ）. Methods There were 45 cases of humerus surgical neck fractures were treated by Proximal humeral anatomical Plate. In these cases, 30 were type of NeerlII and 15 were type of NeerlV. Results All of the cases were followed up from 1 to 2 years. According to the Neer Score, In the 30 cases of type of NeerⅢ、Ⅳ, The evaluation was excellent in 20 cases, good in 7 cases, and fair in 3 cases. The rate of excellent and good Result was 90%. In the 15 cases of type of Neer IV, The evaluation was excellent in 8 cases, good in 4 cases, fair in 2 cases, and poor in 1 case. The rate of excellent and good result was 90%. Conclusion It is a good choice to treat humerus surgical neck fracture（ NeerⅢ, IV） with the surgery of internal fixation.Proximal humeral anatomical Plate is a realitical internal fixation method.