[1]毕红宾 王永清△ 李毅 程鹏 王业林 赵志辉 杨志强.肱骨近端锁定钢板与髓内钉治疗老年肱骨 近端二部分骨折疗效比较[J].中国中医骨伤科杂志,2015,23(12):34-37.
　BI Hongbin WANG Yongqin LI Yi CHENG Peng WANG Yelin ZHAO Zhihui YANG Zhiqiang.Comparison of Proximal Humeral Locking Plate and Intramedullary Nailing for Treating Proximal Humeral Fractures in Elderly[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(12):34-37.
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肱骨近端锁定钢板与髓内钉治疗老年肱骨 近端二部分骨折疗效比较
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年12期
页码:
34-37
栏目:
临床研究
出版日期:
2015-12-08

文章信息/Info

Title:
Comparison of Proximal Humeral Locking Plate and Intramedullary Nailing for Treating Proximal Humeral Fractures in Elderly
文章编号:
1005-0205(2015)12-0034-04
作者:
毕红宾1 王永清2△ 李毅2 程鹏2 王业林1 赵志辉2 杨志强2
1.天津中医药大学(天津,300139)
2.天津医科大学第四中心临床学院
△.通信作者 E-mail:abinbhb@126.com
Author(s):
BI Hongbin1 WANG Yongqin2△ LI Yi2 CHENG Peng2 WANG Yelin1 ZHAO Zhihui2 YANG Zhiqiang2
1.Tianjin University of Traditional Chinese Medicine,Tianjin 300139,China;
2.Fourth Center Clinical College,Tianjin Medical University,Tianjin 300070,China.
关键词:
肱骨近端二部分骨折;  锁定钢板;  髓内钉;  疗效
Keywords:
two-part proximal humerus fractures;  locking plate;  intramedullary nail;  treatment effect
分类号:
R683.41
文献标志码:
A
摘要:
目的:比较锁定钢板和髓内钉治疗老年肱骨近端二部分骨折的疗效。方法:回顾性分析2011年6月至2013 年6月60例肱骨近端二部分骨折患者。男性27例,女性33例; 34例行锁定钢板固定,26例行髓内钉固定。比较两种方式的手术时间、出血量、骨折愈合时间、并发症和术后功能评分。结果:锁定钢板组患者手术时间(79.8±5.3)min,术中出血(300.0±10.6)mL,骨折愈合时间(13.1±2.5)周,末次随访Neer评分(87.5±3.6)分,ASES评分(91.2±4.0)分。髓内钉组患者手术时间(60.7±4.8)min,术中出血(180.0±13.5)mL,骨折愈合时间(12.5±3.6)周,末次随访Neer评分(85.9±4.5)分,ASES评分(89.7±3.4)分。手术时间、出血量比较差异有统计学意义(P<0.05); 骨折愈合时间、Neer评分和ASES评分比较差异无统计学意义(P>0.05)。结论:锁定钢板和髓内钉治疗老年肱骨近端二部分骨折均能取得良好疗效。锁定钢板更适用于肱骨近端内侧较完整病例,髓内钉更适用于大结节无明显骨折患者,但两种方式均应重视内侧柱的有效复位和支撑。
Abstract:
Objective:To compare the effect of locking proximal humeral plate and intramedullary nail for treating elderly patients with proximal humeral fractures.Methods:Retrospective analysis of 60 cases with locking proximal humeral plate(n=34)or intramedullary nail(n=26)for the treatment of proximal humeral fractures from June 2011 to June 2013 in our hospital,including 27 males and 33 females.The operation time,blood loss,bone healing time,complications and postoperative functional score were compared between the two groups.Results:In locking proximal humeral plate group,the operation time was(79.8±5.3)min,the blood loss was(300.0±10.6)mL,the bone healing time was(13.1±2.5)weeks,the Neer score was(87.5±3.6)points,and the ASES score was(91.2±4.0)points at the final follow-up.In intramedullary nail group,the operation time was(60.7±4.8)min,the blood loss was(180.0±13.5)mL,the bone healing time was(12.5±3.6)weeks,the Neer score was(85.9±4.5)points,and the ASES score was(89.7±3.4)points at the final follow-up.There was significant difference in operation time and blood loss between the two groups(P<0.05),but there was no significant differences in the bone healing time,Neer and ASES scores between the two groups(P>0.05).Conclusion:The locking proximal humeral plate and intramedullary nail are both effective in the treatment of elderly with Neer two-part of the proximal humeral fractures.The locking proximal humeral plate is more suitable for cases with inside complete of proximal humeral,while intramedullary proximal humeral nail is more suitable for patients with no fractures of the greater tuberosity.But it is significant to pay attention to the effective restoration and support of the medial column in both ways.

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备注/Memo

备注/Memo:
收稿日期:2015-04-04
更新日期/Last Update: 2015-12-15