CAJ | 학술논문

目的：探讨肱骨大结节骨折的个体化治疗方法和效果。方法2009年5月-2013年3月本院对87例肱骨大结节骨折分别采取切开复位可吸收螺钉内固定及可吸收螺钉结合不吸收线张力带内固定或带缝线锚钉、解剖钢板固定，观察临床效果。结果本组87例患者均获门诊随访，肩关节功能按照Neer评分方法，吸收螺钉内固定病例优良率和可吸收螺钉结合不吸收线张力带内固定或带缝线锚钉病例优良率为91.17％，解剖钢板固定病例优良率为96．22％两手术方法治疗组比较无统计学意义（P＞0．05）。结论对于移位的肱骨大结节骨折主张个体化手术治疗，能较大程度让患者获得一个无痛的、活动范围正常或接近正常的肩关节。
목적：탐토굉골대결절골절적개체화치료방법화효과。방법2009년5월-2013년3월본원대87례굉골대결절골절분별채취절개복위가흡수라정내고정급가흡수라정결합불흡수선장력대내고정혹대봉선묘정、해부강판고정，관찰림상효과。결과본조87례환자균획문진수방，견관절공능안조Neer평분방법，흡수라정내고정병례우량솔화가흡수라정결합불흡수선장력대내고정혹대봉선묘정병례우량솔위91.17％，해부강판고정병례우량솔위96．22％량수술방법치료조비교무통계학의의（P＞0．05）。결론대우이위적굉골대결절골절주장개체화수술치료，능교대정도양환자획득일개무통적、활동범위정상혹접근정상적견관절。
Objective To explore the individualized surgical treatment of humerus greater tuberosity fracture and observe its clinical effects .Methods 87 cases of humerus greater tuberosity fracture in our hospital from May 2009 to March 2013 were individually treated.Measures taken were:1.open reduction and internal fixation with absorbable screw combined with ab-sorbable screw with non absorbable suture tension band fixation or suture anchors ,and 2.anatomic plate fixation .Different re-sults were achieved .Results All the 87 patients were followed up .Shoulder function was evaluated according to the Neer sco-ring system.The excellent rate for measure 1 was 84.21%and the excellent rate for measure 2 was 95.59.There was no statis-tical significance(P>0.05) in comparison between the two treatment groups .Conclusion Individualized surgical treatment is recommended for displaced humerus greater tuberosity fracture , which can allow patients , in a great measure, a painless, nearly normal or even normal shoulder joint .