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LPHP治疗肱骨近端复杂性骨折
引用本文:方大标,王秋根,张平,鲁扬虎,方巍,沈宏.LPHP治疗肱骨近端复杂性骨折[J].临床军医杂志,2008,36(3).
作者姓名:方大标  王秋根  张平  鲁扬虎  方巍  沈宏
作者单位:1. 解放军第532医院,骨科,安徽,黄山,245041
2. 第二军医大学长海医院骨科,上海,200433
摘    要:目的观察肱骨近端锁定钢板治疗肱骨近端NeerⅢ、Ⅳ型骨折的临床疗效。方法48例肱骨近端骨折,其中男32例,女16例。患者平均年龄53.6岁(22~78岁)。按Neer分型:NeerⅢ型27例,NeerⅣ型21例,全部采用肱骨近端锁定接骨板(LPHP)内固定。结果45例获随访8~36个月,平均15.6个月。按照Neer功能评定标准进行评分,优34例,良19例,可2例,优良率为95.6%。结论肱骨近端锁定钢板是治疗肱骨近端NeerⅢ、Ⅳ型骨折的一种创新优异的方法,值得推广。

关 键 词:肱骨近端骨折  锁定接骨板  内固定  手术

Treatment of Neer Ⅲ and Ⅳ Proximal Humeral Fracture with Locking Proxi-mal Humeral Plate
Fang Da-biao,Wang Qiu-gen,Zhang Ping,Lu Yang-hu,Fang Wei,Shen Hong.Treatment of Neer Ⅲ and Ⅳ Proximal Humeral Fracture with Locking Proxi-mal Humeral Plate[J].Clinical Journal of Medical Officer,2008,36(3).
Authors:Fang Da-biao  Wang Qiu-gen  Zhang Ping  Lu Yang-hu  Fang Wei  Shen Hong
Institution:Fang Da-biao1,Wang Qiu-gen2,Zhang Ping1,Lu Yang-hu1,Fang Wei1,Shen Hong1(1.Department of orthopaedics,PLA No.532 Hospital,Huangshan 245041,China,2.Department of Orthopaedics,Changhai Hospital of Second Military Medical University,Shanghai 200433,China)
Abstract:Objective To investigate the clinical result of the treatment of Neer III and Ⅳ proximal humeral fracture with locking proximal humerus plate.Methods Forty-eight patients including 32 males and 16 females with proximal humeral fracrure were treated with locking proximal humeral plate.The average age of the patients was 53.6(22-78) years.According to Neer's classification,there were 27 cases of type Ⅲ,and 21 cases of type Ⅳ.Results Of the whole patients,45 were followed up for 8-36 months(averaging 15.6 months).Nonunion was not found in all the cases.According to Neer scoring system,the therapeutic outcome was excellent in 34,good in 19 and so-so in 2 cases.The excellent and good rate was 95.6%.Conclusion The treatment of Neer Ⅲ and Ⅳ proximal humeral fracture with locking proximal humeral plate is a perfectly innovational mothed.It is worth of recommending in practice.
Keywords:proximal humeral fracture  locking plate  internal fixation  operation  
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