CAJ | 학술논문

评价锁定钢板治疗肱骨近端骨折的临床疗效。2010年3月至2011年10月,奉新县人民医院使用锁定钢板治疗肱骨近端骨折43例,根据Neer分型,二部分骨折13例,三部分骨折24例,四部分骨折6例。随访评定包括X线片、Constant肩关节功能评分标准。结果43例患者获得平均15个月（8-24个月）临床随访,骨折全部愈合,愈合平均时间3.5个月（1.5-6个月）,无畸形愈合。肩关节功能按照Constant评分标准,优18例,良21例,可2例,差2例。锁定钢板治疗肱骨近端骨折具有操作简单、固定牢靠、骨折愈合率高、并发症少等优点,特别适用于粉碎性骨折和肱骨近端骨质疏松骨折的治疗。
평개쇄정강판치료굉골근단골절적림상료효。2010년3월지2011년10월,봉신현인민의원사용쇄정강판치료굉골근단골절43례,근거Neer분형,이부분골절13례,삼부분골절24례,사부분골절6례。수방평정포괄X선편、Constant견관절공능평분표준。결과43례환자획득평균15개월（8-24개월）림상수방,골절전부유합,유합평균시간3.5개월（1.5-6개월）,무기형유합。견관절공능안조Constant평분표준,우18례,량21례,가2례,차2례。쇄정강판치료굉골근단골절구유조작간단、고정뢰고、골절유합솔고、병발증소등우점,특별괄용우분쇄성골절화굉골근단골질소송골절적치료。
To evaluate the clinical results of proximal humeral fractures treated by the locking plate. From March 2010 to October 2011,43 cases of proximal humeral fractures were treated with open re- duction and internal fixation with locking plate. According to Neer classification, 13 cases were two - part fractures,24 cases three-part fractures and 6 cases four-part fractures. The clinical results were evaluated by using Constant's evaluation system and X-ray films. 43 cases were followed up for aver- age 15 months(8 -24 months). All fractures got complete healing,the mean time for bony union was 3.5 ( 1.5 -6) months. According to Constant's evaluation system, there were 18 excellent cases,21 good cases,2 fair cases and 2 bad cases. The excellent and good rate was 90.70%. Conclusions :The treatment of the proximal humeral fractures with Locking plate is simple and stable fixation, high bone union rate,few complications, especially suitable for osteoporosis and commlnuted proximal hu- meral fractures of elderly patients.