微创锁定接骨板治疗老年肱骨近端复杂骨折

目的探讨微创肱骨近端锁定接骨板(LPHP)治疗老年肱骨近端复杂骨折的临床疗效。方法回顾分析采用微创LPHP治疗24例老年肱骨近端复杂骨折。按Neer分型,3部分骨折14例;4部分骨折10例。结果 24例经9～39个月随访,无一例发生内固定松动、断裂,全部骨折均愈合。肩关节功能按照Constant评分标准,功能优12例,良9例,中3例,优良率87.5%。结论微创LPHP内固定治疗肱骨近端复杂骨折固定可靠,骨折愈合率高,可行早期功能锻炼,功能恢复好,尤其适用于治疗老年骨质疏松患者。

Minimally invasive locking proximal humerus plate in treatment of complex proximal humerus fracturesin the elderly

Objective To study surgical treatment of complex proximal humeral fracture in the elderly with minimally invasive locking proximal humerus plate. Methods 24 cases of complex fractures of the proxi- mal humerus treated with minimally invasive locking proximal humerus plate were retrospectively analysed. Ac- cording to Neer classification, there were 14 cases with three-part fractures and 10 cases with four-part fractures. Results The follow-up ranged from 9 months to 39 months, all cases experienced bone union, without internal fixation loosing and breakdown. By Constant scoring system, there were 12 excellent cases,9 good cases and 3 fair cases. The excellent and good rate was 87.5%. Conclusion Application of minimally invasive locking proximal humerus plate can result in more reliable fixation. Higher bone union rate, earlier rehabilitation and better functional recover in treatment of complex fractures of the proximal humerus, especially in the elderly.