CAJ | 학술논문

目的：探讨三叶草钢板治疗肱骨近端骨折临床疗效及分析。方法：自2003年1月至20013年1月采用三叶草钢板治疗肱骨近端骨折65例，男30例，女35例；年龄23～78岁，平均52岁，车祸伤31例，坠跌伤14例，压砸伤15例，合并肩关节脱位5例；骨折根据Neer分型：Ⅱ型骨折32例，Ⅲ型26例，Ⅳ型7例。合并肩关节脱位5例，合并其他骨折或多发伤12例，采用切开复位钢板内固定术，受伤至手术时间2～10天，平均3.5天。结果：本组随访4～24个月，平均8个月，骨折均愈合，未发生神经血管损伤，59例无肩痛，6例偶有肩痛，所有患者均能完成日常生活动作。根据Neer评分：优41例，良13例，中8例，差3例，优良率为83％，患者主观满意率为90％。
목적：탐토삼협초강판치료굉골근단골절림상료효급분석。방법：자2003년1월지20013년1월채용삼협초강판치료굉골근단골절65례，남30례，녀35례；년령23～78세，평균52세，차화상31례，추질상14례，압잡상15례，합병견관절탈위5례；골절근거Neer분형：Ⅱ형골절32례，Ⅲ형26례，Ⅳ형7례。합병견관절탈위5례，합병기타골절혹다발상12례，채용절개복위강판내고정술，수상지수술시간2～10천，평균3.5천。결과：본조수방4～24개월，평균8개월，골절균유합，미발생신경혈관손상，59례무견통，6례우유견통，소유환자균능완성일상생활동작。근거Neer평분：우41례，량13례，중8례，차3례，우량솔위83％，환자주관만의솔위90％。
Objective: To explore the treatment of clover plate of proximal humerus fractures of the clinical efficacy and analysis. Methods: from 2003 January to 20013 January were treated with cloverleaf plate of proximal humeral fractures in 65 cases, male 30 cases, female 35 cases; age 23 ~ 78 years old, with an average of 52 years, 31 cases of traffic accident, faling injury in 14 cases, crush injury in 15 cases, 5 cases with dislocation of shoulder joint; fracture according to Neer; type[1]: type I fractures in 32 cases, 26 patients of type Ⅲ, Ⅳ 7 cases. 5 cases with dislocation of shoulder joint, combined with other fracture or multiple injuries in 12 cases, the use of open reduction and internal fixation, time from injury to operation was 2 ~ 10 days, with an average of 3.5 days. Results the patients were folowed up for 4 ~ 24 months, average 8 months, al fractures healed, no nerve and blood vessel injury, 59 cases without shoulder pain, 6 cases with shoulder pain, al patients were able to complete the activities of daily living. According to Neer score [2]:excelent in 41 cases, good in 13 cases, in 8 cases, poor in 3 cases, the excelent and good rate was 83%, the subjective satisfactory rate in patients with 90%.