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锁定钢板联合自体髂骨打压植骨治疗老年肱骨近端骨折
引用本文:吴斌,陈宝,陈斌,赵铁山,蔡震海.锁定钢板联合自体髂骨打压植骨治疗老年肱骨近端骨折[J].临床骨科杂志,2014,17(1):61-62.
作者姓名:吴斌  陈宝  陈斌  赵铁山  蔡震海
作者单位:吴斌 (嘉兴市第二人民医院骨科,浙江,嘉兴,314000); 陈宝 (嘉兴市第二人民医院骨科,浙江,嘉兴,314000); 陈斌 (嘉兴市第二人民医院骨科,浙江,嘉兴,314000); 赵铁山 (嘉兴市第二人民医院骨科,浙江,嘉兴,314000); 蔡震海 (嘉兴市第二人民医院骨科,浙江,嘉兴,314000);
摘    要:目的探讨采用锁定钢板(LCP)联合自体髂骨打压植骨治疗老年肱骨近端骨折的临床效果。方法对28例肱骨近端骨折的老年患者采用三角肌胸大肌入路、切开复位、LCP联合自体髂骨打压植骨治疗。结果患者均获随访,时间8~24个月,骨折均骨性愈合。肩关节功能评定按Neer百分评分:优秀17例,良好8例,可3例。结论应用LCP联合自体髂骨打压植骨治疗老年肱骨近端骨折,有利于骨折复位、愈合及早期功能锻炼,临床效果满意。

关 键 词:肱骨近端骨折  锁定钢板  自体髂骨  老年人

Treatment of the proximal humerus fractures with locking compression plate and autologous iliac bone impaction graft in elderly patients
WU Bin,CHEN Bao,CHEN Bin,ZHAO Tie-shan,CAI Zhen-hai.Treatment of the proximal humerus fractures with locking compression plate and autologous iliac bone impaction graft in elderly patients[J].Journal of Clinical Orthopaedics,2014,17(1):61-62.
Authors:WU Bin  CHEN Bao  CHEN Bin  ZHAO Tie-shan  CAI Zhen-hai
Institution:( Dept of Orthopaedics, the Second People's Hospital of Jiaxing City, Jiaxing, Zhejiang 314000, China)
Abstract:Objective To investigate the clinical effect of the treatment of the proximal humerus fractures with locking compression plate(LCP) and autologous iliac bone impaction graft(AIBIG) in elderly patients. Methods 28 elderly patients with proximal humerus fractures were treated with open reduction, internal fixation with LCP and AIBIC. Re- sults 28 patients were followed up for 8 ~ 24 months, and all patients obtained bone union. According to Neer shoulder score, the results were excellent in 17 cases, good in 8 and fair in 3. Conclusions LCP and AIBIG in the treatment of proximal humerus fractures in elderly patients allows early function exercise and has satisfaction of clini cal curative effect.
Keywords:proximal humerus fracture  locking compression plate  autologous iliac bone  aged
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