CAJ | 학술논문

目的探讨解剖型锁定钢板治疗肱骨外科颈骨折的疗效。方法采用解剖型锁定钢板治疗肱骨外科颈骨折的34例患者，按Neer分类：二部分骨折6例，三部分骨折19例，四部分骨折9例。结果所有研究对象术后无伤口感染、内固定松动、骨折不愈合、肱骨头坏死等并发症。骨折愈合的时间为术后1.5～6个月，平均2.5个月。按照Neer’s肩关节功能评分标准，优19例，良11例，可4例，差0例，优良率达88.2%。结论通过解剖型锁定钢板方法，治疗肱骨外科颈粉碎骨折，患者出现并发症的可能较小，固定强度能达到早期功能锻炼的要求，是治疗肱骨外科颈粉碎性骨折的理想方法。
목적탐토해부형쇄정강판치료굉골외과경골절적료효。방법채용해부형쇄정강판치료굉골외과경골절적34례환자，안Neer분류：이부분골절6례，삼부분골절19례，사부분골절9례。결과소유연구대상술후무상구감염、내고정송동、골절불유합、굉골두배사등병발증。골절유합적시간위술후1.5～6개월，평균2.5개월。안조Neer’s견관절공능평분표준，우19례，량11례，가4례，차0례，우량솔체88.2%。결론통과해부형쇄정강판방법，치료굉골외과경분쇄골절，환자출현병발증적가능교소，고정강도능체도조기공능단련적요구，시치료굉골외과경분쇄성골절적이상방법。
Objective To investigate the effect of anatomical locking plate in treating fracture of surgical neck of humerus. Methods 34 patients with humerus surgical neck fracture were treated with anatomical locking plate treatment.According to the Neer classification:the two part fractures in 6 cases, the three part fractures in 19 cases and the four part fractures in 9 cases. Results No postoperative wound infection,nonunion,internal fixation loosening, humeral head necrosis. Fracture healing time after 1.5 ~ 6 months,mean 2.5 months. According to Neer's grade standard of shoulder function,excellent in 19 cases,good in 11 cases,in 4 cases,no difference in case. The excellent and good rate was 88.2%. Conclusion anatomical locking plate treatment of surgical neck humerus fracture,the complication is low,the fixation strength can reach the requirement of early functional exercise,the treatment is ideal method of surgical neck humerus fracture.