CAJ | 학술논문

目的探讨解剖钢板治疗复杂肱骨近端骨折的方法及临床疗效.方法回顾分析我院2001年1月-2008年12月收治并有随防的30例采用手术切开复位解剖钢板内固定治疗3、4部分复杂性肱骨近端骨折的手术方法及治疗效果.结果经随访9～28个月(平均14个月),30例3、4部分骨折患者疗效按Neer分类及评分标准评估优23例,良5例,可2例,优良率达90%,无切口感染、骨折不愈合及肱骨头缺血性坏死发生.结论对复杂性肱骨近端骨折采用解剖钢板内固定能得到良好效果.
목적 탐토해부강판치료복잡굉골근단골절적방법급림상료효.방법 회고분석아원2001년1월-2008년12월수치병유수방적30례채용수술절개복위해부강판내고정치료3、4부분복잡성굉골근단골절적수술방법급치료효과.결과 경수방9～28개월(평균14개월),30례3、4부분골절환자료효안Neer분류급평분표준평고우23례,량5례,가2례,우량솔체90%,무절구감염、골절불유합급굉골두결혈성배사발생.결론 대복잡성굉골근단골절채용해부강판내고정능득도량호효과.
Objective To analyze the clinical application and efficacy of anatomical plate in the treatment of complicated proximal humeral fractures. Methods Retrospective analysis was carried out to 30 cases in our hospital from January 2001 to December 2008, for analyzing surgical methods and treatment effect by surgical incision anatomical repositioning plate fixation treatment of part 3, 4 complexity proximal humeral fractures. Results Followed-up 9 to 28 months (14 months as average), all the 30 patients were assessed by the Neer classification and assessment criteria, 23 cases recovered excellently,good in 5 cases and common in 2 cases, the fine rate was 90%, no wound infection, fracture nonunion and humeral head avascular necrosis occurred. Conclusion The anatomical plate fixation can be used to treat complex proximal humerus fractures with good results.