| 摘要: |
| ［摘要］ 目的 探讨锁定加压钢板内固定治疗肱骨近端骨折的疗效。方法 取肩关节前侧入路，采用切开复位锁定加压钢板内固定治疗肱骨近端骨折39例，术后早期功能锻炼。结果 39例患者术后随访6～12个月，平均9个月。伤口全部一期愈合，钢板无折断，螺钉无松脱，无再移位发生。肩关节功能评估优26例，良8例，可5例，优良率为87.2%。1例发生肱骨头无菌性坏死。结论 应用锁定加压钢板内固定治疗肱骨近端骨折，固定牢固，操作简单，允许早期功能锻炼，肩关节功能恢复良好，是一种理想的手术方法。 |
| 关键词: 肱骨近端骨折 锁定加压钢板 内固定 |
| DOI：10.3969/j.issn.1674-3806.2012.05.21 |
| 分类号:R 683 |
| 基金项目: |
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| The curative effect of locking compression plate fixation in 39 patients with proximal humerus fractures |
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LIANG Sheng-wei, HUANG Ke
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Department of Orthopaedics,the People′s Hospital of Tiandeng County, Guangxi 532800,China
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| Abstract: |
| ［Abstract］ Objective To investigate the curative effect of locking compression plate fixation for proximal humerus fractures.Methods Taking anterior lateral approach of shoulder joint, 39 patients with proximal humerus fractures were treated by open reduction and locking compression plate fixation, these patients received early postoperative functional exercise.Results Thirty-nine patients were followed up for 6 to 12 months,with an average of 9 months. The primary healing were obtained in 39 patients,and no broken plates, screws loosening, and further displacement occurred. Excellent effect were found in 26 cases, good in 8 cases,fair in 5 cases,excellent and good rate was 87.2%. Aseptic necrosis of the humeral head was found in one case.Conclusion The locking compression plate fixation for proximal humerus fractures has the advantages of stable fixation, simple operation, allowing early exercise, good recovery of shoulder function, and is an ideal surgical method. |
| Key words: Proximal humerus fractures Locking compression plate Internal fixation |
