CAJ | 학술논문

目的：观察肱骨近端内固定锁定系统（PHILOS ）治疗老年肱骨近端骨折的疗效。方法对我院2010年12月～2013年10月老年肱骨近端骨折患者27例采用切开复位PHILOS钢板螺钉内固定手术。结果本组所有病例都得到有效固定，无感染及内固定失败的发生，术后随访5～34月，平均17．6月，均获得骨性愈合，根据Neer肩关节功能评分系统进行疗效评估并随访其功能，优16例，良8例，可3例，优良率达88．9％。结论应用PHILOS治疗老年肱骨近端骨折固定可靠，术后可早期进行功能锻炼，能明显改善肩关节功能。
목적：관찰굉골근단내고정쇄정계통（PHILOS ）치료노년굉골근단골절적료효。방법대아원2010년12월～2013년10월노년굉골근단골절환자27례채용절개복위PHILOS강판라정내고정수술。결과본조소유병례도득도유효고정，무감염급내고정실패적발생，술후수방5～34월，평균17．6월，균획득골성유합，근거Neer견관절공능평분계통진행료효평고병수방기공능，우16례，량8례，가3례，우량솔체88．9％。결론응용PHILOS치료노년굉골근단골절고정가고，술후가조기진행공능단련，능명현개선견관절공능。
Objective To observe the effect of proximal humerus fractures in ederly patients with PHILOS . Methods From december 2012 to october 2013 ,27 patients with proximal humerus fractures were treated with open reduction and PHILOS internal fixation .Results All patients with proximal humerus fractures were treated by in-ternal fixation effectively .In the durations of follow -up ranged from 5 months to 34 months (average of 17 .6 months ) ,all of patients obtained bony union .According to Neer articulatio capitis humeri function scoring sys-tem ,fineness rate was 88 .9% . Conclusion PHILOS had the advantage of stable fixation and earlier functional training ,it was proved to be an effective method in treatment of elderly proximal humerus fractures .