CAJ | 학술논문

目的探讨解剖型钢板治疗老年肱骨近端骨折的临床效果.方法应用解剖型钢板内固定法治疗老年肱骨近端骨折27例,按Neer分型:三部分骨折18例,四部分骨折9例.结果27例患者均获得随访,随访时间6～24个月,根据Herscovici标准评定结果,优良率为92.6％(25/27),Constant-Murley绝对值评分结果优良率为88.9％(24/27).结论解剖型钢板能提供较强的固定,术后功能恢复较好,是治疗有明显移位的肱骨近端骨折的理想方法.
목적 탐토해부형강판치료노년굉골근단골절적림상효과.방법응용해부형강판 내고정법치료노년굉골근단골절27례,안Neer분형:삼부분골절18례,사부분골절9례.결과27례환자균획득수방,수방시간6～24개월,근거Herscovici표준평정결과,우량솔위92.6％(25/27),Constant-Murley절대치평분결과우량솔위88.9％(24/27).결론해부형강판능제공교강적고정,술후공능회복교호,시치료유명현이위적굉골근단골절적이상방법.
Objective To investigate the effects of treatment of proximal humeral fracture in the elderly with anatomical plate internal fixation.Methods Twenty-seven cases of proximal humeral fractures received operative treatment with anatomical plate.According to Neer classification,there were 18 patients with three-part fractures of the bone,there were 9 patients with four-part fractures of the bone.Results Twenty-seven patients were followed up for 6-24 months.According to the evaluation of Herscovici scales,the result were excellent in 17 cases,and good in 8,92.6％ (25/27) of all reductions were excellent or good.The excellent and good rate of Constant-Murley score was 88.9％(24/27 ).Conclusion It is an ideal way to treat the displaced proximal humeral fracture with anatomical plate,which can provide rigid fixation,it allows early functional treating.