CAJ | 학술논문

目的观察锁定钢板治疗肱骨近端骨折的效果以及内侧支撑对其影响.方法 2003年2月～2008年3月,收治肱骨近端骨折37例.其中男15例,女22例;年龄为21～81岁,平均65.6岁.60岁以下8例,60岁以上29例.自行摔倒伤22例,高处坠落伤9例,车祸伤6例.根据Neer分型:二部分骨折13例,三部分20例,四部分4例.所有患者均应用锁定钢板(proximal humeral internal locking system,PHILOS)治疗.结果术后33例获得12～48个月的随访(4例失访),平均18.6个月.骨折均愈合,愈合时间平均为10周.无内固定失效.根据Constant评分标准评定,优良率为81.8%.结论锁定钢板是治疗肱骨近端骨折的有效方法,肱骨头部内下方的有效支撑以及减少软组织剥离是手术成功的关键.
목적 관찰쇄정강판치료굉골근단골절적효과이급내측지탱대기영향.방법 2003년2월～2008년3월,수치굉골근단골절37례.기중남15례,녀22례;년령위21～81세,평균65.6세.60세이하8례,60세이상29례.자행솔도상22례,고처추락상9례,차화상6례.근거Neer분형:이부분골절13례,삼부분20례,사부분4례.소유환자균응용쇄정강판(proximal humeral internal locking system,PHILOS)치료.결과 술후33례획득12～48개월적수방(4례실방),평균18.6개월.골절균유합,유합시간평균위10주.무내고정실효.근거Constant평분표준평정,우량솔위81.8%.결론 쇄정강판시치료굉골근단골절적유효방법,굉골두부내하방적유효지탱이급감소연조직박리시수술성공적관건.
Objective To evaluate the results of locking plate fixation for the treatment of proximal humeral fractures and the effect of medial support of the humeral head. Methods From February 2003 to March 2008, 37 cases of proximal humeral fractures were treated. There were 15 males and 22 females. The age of this group ranged from 21 to 81 years, with an average of 65.6 years. There were 8 patients who were younger than 60 and 29 older than 60. Causes of the fractures included falling from bicycles in 22 cases, falling from a height in 9 cases and traffic accident in 6 cases. According to Neer classification, there were 13 cases of two-part fractures, 20 cases of three-part and 4 cases of four-part fracture. All the fractures were treated with locking plate (Proximal Humeral Internal Locking System, PHILOS ). Results Postoperatively 33 cases were followed up for 12 to 48 months with an average of 18.6 months. Four cases were lost to follow up. Bone union was achieved in all cases, with the mean healing period of 10 weeks. According to Constant scoring, the excellent and good result rate was 81.8%. Conclusion Locking plate is an effective implant for treating proximal humeral fractures. Mechanical support of inferior-medial region in the humeral head to maintain the reduction and less soft tissue striping of the fracture site are important for the success of the surgery.