CAJ | 학술논문

目的：探讨应用 AO 肱骨近端锁定接骨板（ LPHP）治疗复杂肱骨近端骨折的方法及疗效。[方法]回顾性分析2009年3月-2013年1月应用AO肱骨近端锁定接骨板治疗复杂肱骨近端骨折38例。年龄41-73岁，平均62.1岁。骨折按Neer分型法， III部分骨折24例， IV部分骨折14例。均予AO肱骨近端锁定接骨板内固定，采用三角肌、胸大肌间隙入路。结果所有病例手术切口均I期愈合，均获得5-24个月的长期随访，骨折均愈合。根据Neer评分，优26例，良8例，可3例，差1例，总优良率达89.5％。结论AO锁定加压接骨板治疗肱骨近端骨折具有固定可靠，对肱骨头血供影响小，并发症少等优点，特别适用于不稳定的、骨质疏松的复杂肱骨近端骨折，术后能早期功能锻炼，长期随访观察，效果满意，是目前治疗肱骨近端骨折较理想的内固定方法。
목적：탐토응용 AO 굉골근단쇄정접골판（ LPHP）치료복잡굉골근단골절적방법급료효。[방법]회고성분석2009년3월-2013년1월응용AO굉골근단쇄정접골판치료복잡굉골근단골절38례。년령41-73세，평균62.1세。골절안Neer분형법， III부분골절24례， IV부분골절14례。균여AO굉골근단쇄정접골판내고정，채용삼각기、흉대기간극입로。결과소유병례수술절구균I기유합，균획득5-24개월적장기수방，골절균유합。근거Neer평분，우26례，량8례，가3례，차1례，총우량솔체89.5％。결론AO쇄정가압접골판치료굉골근단골절구유고정가고，대굉골두혈공영향소，병발증소등우점，특별괄용우불은정적、골질소송적복잡굉골근단골절，술후능조기공능단련，장기수방관찰，효과만의，시목전치료굉골근단골절교이상적내고정방법。
Objective To investigate the AO proximal humeral locking plate (LPHP) treatment of complex fractures of the proximal humerus methods and results. Methods A retrospective analysis of March 2009-January 2013 with AO proximal humeral locking plate treatment of complex proximal humeral fractures 38 cases. Aged 41 to 73 years, mean 62.1 years. Fractures by Neer classification method, III part fractures 24 cases, IV-part fractures in 14 cases. AO herein are proximal humeral locking plate fixation, using the deltoid, pectoralis major gap approach. Results All cases were stage I surgi-cal incision healing, which have received 5 to 24 months of long-term follow-up, the fractures were healed. According to Neer score, ex-cellent in 26 cases, good in 8 cases, 3 cases and poor in 1 case, the to-tal fine rate was 89.5%. Conclusion AO locking compression plate proximal humeral fractures with a fixed and reliable blood supply of the humeral head on impact, fewer complications, etc., especially for unstable osteoporosis complex proximal humeral fractures, surgery after the energy early exercise, long-term follow-up study, results were satisfactory, is the treatment of proximal humeral fractures more satisfactory fixation methods.