CAJ | 학술논문

目的探讨锁定加压接骨板(LCP)治疗老年患者肱骨近端粉碎性骨折的疗效.方法对16例老年肱骨近端粉碎性骨折患者采用切开复位LCP内固定治疗,根据Neer分型Ⅱ型5例,Ⅲ型8例,Ⅳ型3例.术后均定期门诊随访,并评定其疗效.结果 16例患者均获随访,随访时间6 ～18个月,平均13.5个月,骨折均愈合.肩关节功能评定采用Neer评分,优9例,良5例,可2例,优良率为87.5％.X线检查复位结果:解剖复位6例,近似解剖复位6例,3例复位可,1例差.结论使用LCP治疗老年患者肱骨近端粉碎性骨折操作简单、创伤少、固定牢固、血供破坏少、肩关节功能恢复良好,符合目前骨折治疗理念,是一种较理想的治疗方式.
목적 탐토쇄정가압접골판(LCP)치료노년환자굉골근단분쇄성골절적료효.방법 대16례노년굉골근단분쇄성골절환자채용절개복위LCP내고정치료,근거Neer분형Ⅱ형5례,Ⅲ형8례,Ⅳ형3례.술후균정기문진수방,병평정기료효.결과 16례환자균획수방,수방시간6 ～18개월,평균13.5개월,골절균유합.견관절공능평정채용Neer평분,우9례,량5례,가2례,우량솔위87.5％.X선검사복위결과:해부복위6례,근사해부복위6례,3례복위가,1례차.결론 사용LCP치료노년환자굉골근단분쇄성골절조작간단、창상소、고정뢰고、혈공파배소、견관절공능회복량호,부합목전골절치료이념,시일충교이상적치료방식.
Objective To investigate the clinical effects of elderly patients with proximal humeral comminuted fracturc using LCP.Methods Sixteen elderly cases of proximal humeral comminuted fracture were treated by open reduction LCP internal fixation.According to the Neer classification,5 cases were type Ⅱ,8 cases were type Ⅲ,3 cases were type Ⅳ.All patients were followed up regularly,and assessed its curative effect.Results All patients were followed up for 6-18 months (mean 13.5 months),and all fractures healed.The shoulder function was evaluated according to the Neer score,9 cases were excellent,5 cases were good,2 cases were fair,the satisfactory rate was 87.5％.X-ray reset the results,6 cases were anatomical reattachment,6 cases were approximate anatomical reattachment,3 cases were reattachment fair,and 1 case was poor.Conclusions Treated with LCP for the elderly patients with proximal humeral comminuted fracture are simple operation,less trauma,fixed firmly,blood supply for less damage,shoulder function recover well and consistent with the current treatment philosophy concept,it is an ideal treatment.