锁定加压接骨板在肱骨近端骨折治疗中的临床应用

目的探讨运用锁定加压接骨板（LCP）治疗肱骨近端骨折的疗效。方法26例肱骨近端骨折患者按AO分类：A2型8例,A3型5例,B1型5例,B2型4例,B3和C2型各2例。术中做肩袖和关节囊纵行小切口探查,关节囊外显露肱骨骨折端,将骨折牵引复位后,选择合适长度的LCP内固定。结果随访4-12月（平均7月）,术后3-4月复查X线片均见骨折愈合,未见感染、骨不连或延迟愈合。按Neer评分优18例,良6例,可2例,总优良率92.3%。结论LCP治疗肱骨近端骨折临床疗效满意,可作为治疗此种骨折的首选方法之一。

The Treatment of Proximal Humerus Fractures by Locking Compression Plate

Objective To evaluate the efficiency of treatment of the proximal humerus fractures with the locking compression plate （LCP）. Methods 26 cases of the proximal humerus fractures were treated by open reduction and internal fixation with LCP from January 2007 to June 2008, 15 males and 11 females, with an average age of 56 ranging from 40 - 72 years old. According to AO classication, there were 8 cases of type A2 farcture, 5 type A3, 5 type B1, 4 type B2, 2 type B3, 2 type C2. Rotator cuff and joint capsule were opened with longitudinal small incision, humerus fracture was revealed outside the joint capsule, the fracture was tracted to reduction, and the appropriate length of the LCP was chosen to fixation. Results The mean period of followed - up were 4 to 12 months, averaged 7 months. All the fractures unioned 3 - 4 momhs after operation, and no wound infection, disunion, de/ayed union was observed. According to the Neer score classification, excellent in 18, good in 6, fair in 2, 92.3% of patients achieved excellent and good function. Conclusion Satisfied clinical effect can be achieved in this study, the locking compression plate can be one of the best selection for this kind of fractures.