CAJ | 학술논문

目的探讨解剖型钢板和锁定加压钢板在肱骨外科颈骨折治疗中的应用效果.方法选取肱骨外科颈骨折患者51例,随机分为2组,解剖型钢板组35例,锁定加压钢板组16例.应用解剖型钢板治疗肱骨外科颈骨折35例,根据Neer分类法,Neer三部分骨折19例,四部分骨折16例;锁定加压钢板治疗肱骨外科颈骨折16例,Neer三部分骨折9例,四部分骨折7例.结果解剖型钢板组28例获随访,时间4～48个月,平均(21±2)个月.按Constant评分标准,优19例,良8例,可1例;锁定加压钢板组14例均获随访,时间1～24个月,平均(12±1)个月.术后肩关节功能评分,优10例,良4例.结论解剖型钢板和锁定加压钢板均是治疗肱骨外科颈骨折较理想的方法.
목적 탐토해부형강판화쇄정가압강판재굉골외과경골절치료중적응용효과.방법 선취굉골외과경골절환자51례,수궤분위2조,해부형강판조35례,쇄정가압강판조16례.응용해부형강판치료굉골외과경골절35례,근거Neer분류법,Neer삼부분골절19례,사부분골절16례;쇄정가압강판치료굉골외과경골절16례,Neer삼부분골절9례,사부분골절7례.결과 해부형강판조28례획수방,시간4～48개월,평균(21±2)개월.안Constant평분표준,우19례,량8례,가1례;쇄정가압강판조14례균획수방,시간1～24개월,평균(12±1)개월.술후견관절공능평분,우10례,량4례.결론 해부형강판화쇄정가압강판균시치료굉골외과경골절교이상적방법.
Objective To compare the therapeutic effect of anatomy plate and locking compression plate in the treatment of humerus surgical neck fracture. Methods Fifty one patients with humerus surgical neck fracture were enrolled into the study and divided into two groups randomly to accept anatomy plate or locking compression plate treatment. In the anatomy plate treatment group ( n = 35 ), 19 cases were type- Ⅲ fractures and 16 cases were type-Ⅳ fractures according to Neer classification. In the locking compression plate treatment group (n = 16) ,9 cases were type-Ⅲ fractures and 7 cases were type-Ⅳ fractures according to Neer classification. Results In anatomy plate group,28 cases were followed up for 4 months to 48 months ( average period was [21 ± 2] months). According to the Constent score criteria, 19 cases got excellent outcome,8 cases got good outcome,1 case got fair outcome. In locking compression plate group, 14 cases were followed up for 1 month to 24 months (average period was[12 ± 1] months). Ten cases got excellent outcome,4 cases got good outcome. Conclusion Both anatomy plate and locking compression plate treatments are good for the humerus surgical neck fracture.