肱骨近端锁定接骨板治疗老年肱骨近端骨折

目的：探讨应用肱骨近端锁定接骨板内固定治疗老年肱骨近端骨折的手术疗效。方法：回顾分析应用肱骨近端锁定接骨板内固定治疗21例老年肱骨近端骨折患者的临床资料，Neer分型，三部分骨折17例，四部分骨折4例。结果：通过术后(13.5±1.2)个月随访。骨折愈合时间3~8个月；根据Neer肩关节功能评分标准进行评定，优12例，良6例，可2例，差1例，优良率85.7%。结论：肱骨近端锁定接骨板治疗老年肱骨近端骨折内固定牢靠，局部创伤小，骨折愈合时间短，关节功能恢复满意，是老年肱骨近端骨折理想的治疗方法。

Proximal humerus locking plate fixation in the treatment of proximal humeral fracture

Objective:To explore the operation effect of the proximal humerus locking plate fixation in the treat-ment of proximal humeral fracture. Methods:a retrospective analysis of the proximal humerus locking plate fixation in the treatment of 21 cases of senile proximal humeral fractures in patients with clinical data, The Neer type, the three part fractures in 17 cases, 4 cases of four part fractures. Results:the patients were followed up for 10~18 months, av-erage 13.2 months. Fracture healing time of 3~8 months; shoulder joint function were evaluated according to Neer score standard, excellent in 12 cases, good in 6 cases, 2 cases, poor in 1 cases, the excellent and good rate was 85.7%. Conclusion:the proximal humerus locking plate in the treatment of senile proximal humeral fracture internal fixation is the ideal treatment of senile proximal humeral fracture , with few local trauma, short fracture healing time, and satis-factory joint function recovery.