应用肱骨近端锁定型钢板治疗肱骨近端骨折的回顾性研究

目的 探讨AO Philos钢板治疗肱骨近端骨折手术体会.方法 回顾性分析2006年7月-2009年5月应用AO Philos钢板治疗肱骨近端骨折29例,按Neer分型2部分骨折11例,3部分骨折16例,4部分骨折2例.结果 29例患者均获得随访,时间9～16个月,平均11.3个月,功能评定采用肩关节Neer功能评分标准:优13例,良12例,可4例,优良率86.2%.结论 AO Philos钢板治疗肱骨近端骨折具有手术创伤小,固定有效可靠,允许早期功能锻炼,疗效确切.

A retrospective study after treatment of proximal humeral fractures with locking plates

Objective The purpose of our study was to evaluate the treatment of proximal humeral fractures with AO Philos plate. Methods From June 2007 to May 2009, 29 cases of proximal humeral fractures were fixed with AO Philos plate. According to Neer classification, 11 cases were two-part fractures, 16 cases three-part fractures and 2 cases four-part fractures. Results Twenty-nine cases were followed 9-16 months (averaging 11.3 months). The results were evaluated with Neer's evaluation system: 13 patients were graded as excellent,12 as good, 4 as fair. Conclusion AO Philos plate is less invasive comparing with traditional method. It can provide solid fixation, permit early functional rehabilitation and lead to a compromising clinical result.