CAJ | 학술논문

目的探讨肱骨近端锁定钢板治疗老年人肱骨近端骨折的疗效.方法2008年3月~2012年3月应用肱骨近端解剖型锁定钢板治疗老年肱骨近端骨折39例,年龄60~83岁,平均70.3岁.骨折按 Neer 分型:2部分骨折10例、3部分骨折21例、4部分骨折8例.结果39例均获随访,随访8~24个月,平均14.6月,均获骨性愈合,平均愈合时间3~5月.肩关节功能按Neer疗效评分系统评定,优28例、良8例,可2例,差1例.结论解剖型锁定钢板是治疗老年肱骨近端骨折较理想的内固定方法之一.
목적탐토굉골근단쇄정강판치료노년인굉골근단골절적료효.방법2008년3월~2012년3월응용굉골근단해부형쇄정강판치료노년굉골근단골절39례,년령60~83세,평균70.3세.골절안 Neer 분형:2부분골절10례、3부분골절21례、4부분골절8례.결과39례균획수방,수방8~24개월,평균14.6월,균획골성유합,평균유합시간3~5월.견관절공능안Neer료효평분계통평정,우28례、량8례,가2례,차1례.결론해부형쇄정강판시치료노년굉골근단골절교이상적내고정방법지일.
@@@@Objective To observe the clinical effect of proximal humeral fracture in elder treated with locking plates. Method From March 2008 to March 2012, 39 patients with proximal humeral fracture were all treated with anatomical locking plates. The average age of patients was 70.3 years (range 60~83). According to Neer classification: 2 parts fracture 10 cases, 3 parts fracture 21cases, and 4 parts fracture 8 cases. Result All patients were followed up for 8~24 months (average 14.6 months), all fractures occurred bone union, the average time for fracture healing was 3~5 months. The shoulder joint function was evaluated by Neer functional assessment system: excellent 28 cases, good 8 cases, general 2 cases, poor 1 case. Conclusion Anatomical locking plate in treating proximal humeral fracture in elder is a good method internal fixation of proximal humeral fracture in elder at present.