肱骨近端骨折术后影响功能恢复的原因分析

目的探讨锁定钢板内固定治疗肱骨近端骨折术后肩关节功能恢复的可能影响因素。方法 2007年1月—2010年12月,该组收治163例肱骨近端骨折患者,均采用锁定钢板内固定治疗,统计分析与肩关节功能恢复相关因素的相关性。结果经18～36个月的随访,影响锁定钢板内固定治疗肱骨近端骨折术后肩关节功能恢复的因素有:性别、年龄、骨折分型、骨密度、复位质量。结论肱骨近端骨折内固定时尽量达到解剖复位,必要时须行开放复位;对于严重的三、四部分肱骨近端骨折,和由各种因素引起的骨密度下降(骨质疏松)患者,关节置换可能是一种更为理想的治疗方式。

Analysis of Treatment and Prognostic factors of Proximal Humeral Fractures

Objective To analyze the treatment of proximal humeral fractures and the prognostic factors affecting the shoulder ioint functions. Methods January 2007 to December 2010, the group treated 163 cases of proximal humerus fracture patients are lock- ing plate fixation for the treatment, statistical analysis, and shoulder function to restore the correlation of the relevant factors. Results 18 to 36 months of follow-up, the impact of shares locking plate internal fixation of proximal humeral fractures postoperative shoulder function recovery factors： gender, age, type of fracture, hone mineral density, quality of reduction was significantly corre- lated. Conclusion Internal fixation in the proximal humerus fractures anatomic reduction of as much as possible and, when necessary, by open reduction. For serious three-and four-part proximal humerus fracture, caused by a variety of factors, bone mineral density （osteoporesis） in patients with decreased joint replacement may be a more ideal treatment.