老年性肱骨近端骨折锁定钢板内固定疗效探讨

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Abstract Objective To study the clinical effects of locking plate internal fixation for treating the senile proximal humeral fracture. Methods The clinical data of 55 patients with senile proximal humeral fracture in this hospital from August 2007 to December 2012 were analyzed retrospectively. According to Neer classification system, there were 11 cases of two-part fractures, 25 cases of three-part fractures and 19 cases of four-part fractures. We used limited open reduction with locking plate internal fixation for treatment. Self iliac bone graft was used for the 19 cases of four-part fractures. We paid attention to early postoperative functional exercise and analyzed its advantages compared with traditional methods. Results All patients were followed up for 6-18 months (average 9 months), the healing time was 11 to 15 weeks (average 13 weeks), 17 cases were evaluated as excellent, 31 cases as good and 7 cases as fair according to score of shoulder joint. The excellent and good rate was 87.3%. Two cases had incision fat necrosis with slight infection, 1 case screw penetrating joint surface, 1 case humeral head mild valgus, and 2 cases humeral head osteonecrosis. Conclusions Locking plate internal fixation for treating senile proximal humeral fracture has many advantages compared with traditional methods. This method has smaller damage, reliable fixation, allows to make early functional exercises and improves functional recovery. It is especially suitable for the senile patients complicated by osteoporosis.

Key words： locking plate internal fixation for treatment senile proximal humeral fracture

Received: 08 August 2014

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R683.41

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	Articles by authors
	ZHAO Junjian
	CHENG Xiaobin
	ZHAI Xiaogang
	SUN Lina
	GUAN Pengfei
	ZHENG Qiang
	and BAI Jie

Cite this article:

ZHAO Junjian,CHENG Xiaobin,ZHAI Xiaogang等. Efficacy of treatment of senile proximal humeral fracture by locking plate internal fixation[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2014, 25(12): 1232-1235.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I12/1232

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[13]	杨学永,王振国,王韬渊,等. 金属肋骨接骨板内固定治疗多发肋骨骨折的临床分析[J]. 中国急救复苏与灾害医学杂志, 2012, 7(6): 578-579.
[9]	Friess D M, Attia A. Locking plate fixation for proximal humerus fractures: a comparison with other fixation techniques[J].Orthopedics,2008,31(12):1234-1238.
[10]	Boileau P, Krishnan S G, Tinsi L, et al. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus [J]. J Shoulder Elbow Surg,2002,11(5): 401-412.
[11]	姜保国,张殿英,付中国. 肱骨近端骨折的治疗建议[J].中华创伤骨科杂志,2011,13(1):55-59.
[12]	Jeschid J, Zdero R, Shah S, et al. The biomechanics of locked plating for repairing proximal humerus fractures with or without medial cortical support [J].J Trauma,2010,69(5):1235-1242.
[13]	杨学永,王振国,王韬渊,等. 金属肋骨接骨板内固定治疗多发肋骨骨折的临床分析[J]. 中国急救复苏与灾害医学杂志, 2012, 7(6): 578-579.