CAJ | 학술논문

目的观察肱骨近端锁定钢板治疗肱骨近端NeerⅢ、Ⅳ型骨折的临床疗效.方法2004年1月~2011年2月应用肱骨近端普通解剖型钢板和肱骨近端锁定钢板治疗肱骨近端NeerⅢ、Ⅳ型骨折114例.观察组62例用肱骨近端锁定钢板内固定(NeerⅢ型50例,NeerⅣ型12例).对照组52例用肱骨近端普通解剖型钢板内固定(NeerⅢ型42例,NeerⅣ型10例).结果114例获随访12~36个月,平均16.6个月.按照Neer功能评定标准进行评分,观察组：优20例；良38例；可4例；差0例.对照组：优10例；良28例；可10例；差4例.采用SPSS11.0软件进行分析.观察组与对照组有显著差异(P<0.05).结论肱骨近端锁定钢板治疗肱骨近端NeerⅢ、Ⅳ型骨折,操作简单,内固定坚强,效果满意.
목적관찰굉골근단쇄정강판치료굉골근단NeerⅢ、Ⅳ형골절적림상료효.방법2004년1월~2011년2월응용굉골근단보통해부형강판화굉골근단쇄정강판치료굉골근단NeerⅢ、Ⅳ형골절114례.관찰조62례용굉골근단쇄정강판내고정(NeerⅢ형50례,NeerⅣ형12례).대조조52례용굉골근단보통해부형강판내고정(NeerⅢ형42례,NeerⅣ형10례).결과114례획수방12~36개월,평균16.6개월.안조Neer공능평정표준진행평분,관찰조：우20례；량38례；가4례；차0례.대조조：우10례；량28례；가10례；차4례.채용SPSS11.0연건진행분석.관찰조여대조조유현저차이(P<0.05).결론굉골근단쇄정강판치료굉골근단NeerⅢ、Ⅳ형골절,조작간단,내고정견강,효과만의.
Objective To investigate the clinical outcome of the treatment with locking proximal humerus plate for Neer III and Ⅳ proximal humeral fracture. Methods 114 cases of Neer III and Ⅳ proximal humeral fracture from January 2004 to February 2011 were treated with the locking proximal humerus plate and the proximal humerus anatomic plate. Test group including 50 cases of Neer Ⅲ and 12 cases of Neer Ⅳ were treated with the internal locking proximal humerus plate fixation. The other 52 cases including 42 cases of Neer Ⅲ and 10 cases of Neer Ⅳ as a control group were treated with the internal proximal humerus anatomic plate fixation. Results All the 114 cases were followed up for 12 to 36 mouths (averaging 16.6 mouths). According to Neer scoring system, in the test group, the therapeutic outcome was excellent in 20, good in 38 and so so in 4 cases; in the control group: the therapeutic outcome was excellent in 10, good in 28, so so in 10 and poor in 4 cases. Analysis by SPSS11.0 software, the outcome between test group and control group was significant different (P<0.05). Conclusion The treatment of locking proximal humeral plate for Neer Ⅲ and Ⅳ proximal humeral fracture is easy to operate, and reliable fixation. It is a good innovational method.