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锁定钢板治疗复杂性老年肱骨近端骨折的疗效分析
引用本文:班吉鹤,马玉海,徐阿炳,苏佳灿. 锁定钢板治疗复杂性老年肱骨近端骨折的疗效分析[J]. 医疗保健器具, 2011, 18(12): 1886-1887. DOI: 10.3969/j.issn.1674-4659.2011.12.1886
作者姓名:班吉鹤  马玉海  徐阿炳  苏佳灿
作者单位:1. 武警浙江省总队医院嘉兴医院创伤骨科,浙江嘉兴,314000
2. 第二军医大学附属长海医院骨科,上海,200433
摘    要:目的评价锁定钢板治疗复杂性老年肱骨近端粉碎性骨折的疗效。方法回顾分析2008年8月至2010年8月本院采用骨折切开复位结合锁定钢板内固定治疗老年肱骨近端骨折患者38例的临床资料,年龄59~78岁(平均68岁)。按Neer分类法:3部分骨折25例,4部分骨折13例。结果 38例均获随访,随访时间l2~26个月(平均19个月),随访肩关节功能按Constant功能评分标准,优12例,良19例,可3例,差4例,优良率达81.5%。有3例发生肩峰撞击综合征,1例发生肱骨头缺血坏死。结论锁定钢板针治疗复杂性老年性肱骨近端骨折能获得满意的疗效,是一种有效的治疗方法。

关 键 词:肱骨近端骨折  锁定钢板  手术治疗  老年人

The Analysis of Functional Outcome of the Complex Proximalhumerus Fractures in Elderly by Locking Plate
BAN Jihe,MA Yuhai,XU A bing,SU Jiacan. The Analysis of Functional Outcome of the Complex Proximalhumerus Fractures in Elderly by Locking Plate[J]. Medicine Healthcare Apparatus, 2011, 18(12): 1886-1887. DOI: 10.3969/j.issn.1674-4659.2011.12.1886
Authors:BAN Jihe  MA Yuhai  XU A bing  SU Jiacan
Affiliation:BAN Jihe 1,MA Yuhai 1,XU Abing 1,SU Jiacan 2 (1Department of Orthopaedic Trauma,Jiaxing Hospital of Zhengjiang Armed Police,Jiaxing 314000,China,2Department of Orthopaedics,the Affilicated Hospital of Second Military Medical University,Shanghai 200433
Abstract:Objective To evaluate functional outcome of locking plate used for fixation of the complex proximal humerus fractures in elderly. Methods From August 2008 to August 2010, 38 aged patients with an acute proximal humerus fracture were managed with locking plate osteosynthesis after open reduction, with age of 59 to 78 (mean 68). Accroding to Neer classification, 25 cases were three-part fracture, 13 cases were four-part fracture. Results 38 of these patients by follow-up of 12 to 26 months (mean 19 months) we...
Keywords:Proximal humerus fractures  Locking plate  Operation  The aged  
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