解剖型钢板内固定治疗肱骨近端骨折39例分析

目的：探讨解剖型接骨板内固定治疗肱骨近端骨折的临床疗效。方法：2005年1月-2010年6月，使用解剖型接骨板内固定治疗肱骨近端骨折39例。根据Neer分型，二部分骨折10例，三部分骨折24例，四部分骨折5例。采用三角肌、胸大肌间隙入路，其中5例因骨缺损行植骨术。结果：本组患者均获随访，随访时间为12～18个月，平均16个月。骨折均愈合，愈合时间4-6个月。按Neer肩关节功能评分标准，优25例，良9例，优良率为87．2％。结论：采用解剖型接骨板内固定和规范的功能锻炼治疗肱骨近端骨折可获得满意疗效。

Analysis of anatomical plate fixation of proximal humeral fractures in 39 cases

Objective： To study the clincal effect of open reduction and internal fixation with anatomical form plate to treat proximal humeral fractures. Methods： A total of 39 cases with proximal humeral fractures were treated with anatomical form plate from January 2005 to June 2010. According to Neer classification, 10 cases were with two-part fractures, 24 with three-part fractures and 5 with four＇part fractures. Reduction and fixation was done via dehopectoral-groove ap- proach. Bone graft was applied fo 5 cases. Results： All the 39 cases were folowed up. The follow-up time was 12-18 months, averaged 16 months. All cases were healed and the union period of 4-6 months. According to the Neer shouldel score, the results showed that 25 cases were excellent, 9 cases were good, with excellent rate of 7.2%. Conclusion： For proximal humeral fractures,internal fixation by using anatomical form plateplus normal functional exercises can obtain satisfactory therapeutic results.