CAJ | 학술논문

目的：探讨利用钢板的桥接固定作用在术中复位治疗老年性肱骨近端骨折的有效性。方法：18例老年性肱骨近端骨折患者应用肱骨近端锁定钢板治疗。术中先将肱骨近折端复位，用1枚锁定螺钉将锁定钢板近侧部固定住近折端，然后利用钢板的桥接固定作用复位远折端。结果：所有患者骨折块术中均得到快速、有效复位。术后4周、8周、3个月、6个月摄片X线复查，骨折端无移位，无内固定失效。术后6个月按照Neer功能评分评定疗效：优12例，良3例，可2例，差1例，优良率83.3%。结论：利用钢板的桥接固定作用在术中能快速、有效复位老年性肱骨近端骨折块。
목적：탐토이용강판적교접고정작용재술중복위치료노년성굉골근단골절적유효성。방법：18례노년성굉골근단골절환자응용굉골근단쇄정강판치료。술중선장굉골근절단복위，용1매쇄정라정장쇄정강판근측부고정주근절단，연후이용강판적교접고정작용복위원절단。결과：소유환자골절괴술중균득도쾌속、유효복위。술후4주、8주、3개월、6개월섭편X선복사，골절단무이위，무내고정실효。술후6개월안조Neer공능평분평정료효：우12례，량3례，가2례，차1례，우량솔83.3%。결론：이용강판적교접고정작용재술중능쾌속、유효복위노년성굉골근단골절괴。
Objective:To explore the effectiveness of intraoperative reposition senile proximal humeral fractures by using bridging fixation of plate. Methods:All patients were treated with locking proximal humerus plate. During the operation, first of all, after reposition the proximal end of fracture,locking the proximal end of plate with a locking screw for fixation the proximal end of fracture. then,reposition the distal end of fracture by using bridging fixation of plate. Results:All the fracture fragments were fast, effectively reposited. Radiographic review around 4 weeks,8 weeks,3 months and 6 months after the operation,the fracture was not displaced,the fixation was not failure. After 6 months,according to Neer functional score evaluation:excellent in 12 cases,good in 3 cases,fair in 2 cases,poor in 1 cases,the excellent and good rate was 83. 3%. Conclusions:Senile proximal humeral fracture can be fast,effectively reposited by using bridging fixation of plate.