锁定钢板在肱骨近端骨折治疗中的应用

目的:探讨锁定钢板在肱骨近端骨折内固定中的疗效.方法:总结分析34例采用锁定钢板内固定治疗肱骨近端骨折患者的资料.根据Neer分型:Ⅱ型11例,Ⅲ型15例,Ⅳ型8例.术中骨折复位后有骨缺损者取自体髂骨植骨8例.术后患肢用三角巾悬吊,2周后功能锻炼.结果:34例均获随访,随访时间11 ～ 29个月,平均14个月,切口均一期愈合,骨折平均愈合时间4.5月.根据Neer评分:优12例,良16例,可5例,差1例,优良率82.35％.结论:锁定钢板治疗肱骨近端骨折具有操作简单、固定可靠、骨折愈合率高、并发症少等优点,适用于肱骨近端复杂骨折的治疗.

Application of Locking Plate Internal Fixation in the Treatment of Proximal Humerus Fracture

Objective:To observe the locking plate application and clinical result in the treatment of proximal humerus fracture.Methods:The 34 cases who suffered from proximal humerus fracture were admitted.According to Neer classification,there were 11 cases of Ⅱ Type,15 cases of ⅢType,8 case of ⅣType.34 patients received treatment with locking plate fixtion,and 8 patients with bone defect received treatment with autoallergic iliac bone grafted.Affected limb was suspend with triangular bandage after operation,and the patients did functional exercises.Results:All cases were followed up from 11 months to 29 months(the means 14 months),The average bone union time was 4.5 months.On the basis of Neer score,12 cases were excellent,16 good,5 fair,and 1 poor.The excellent to good rate was 82.35%.Conclusion:The treatment of the proximal humerure with Locking plate is simple and stable fixation,high bone union rate,few complications,especially for the complicated fracture of the proximal humerus.