CAJ | 학술논문

目的探讨锁定钢板治疗肱骨近端骨折的临床疗效.方法回顾性分析2008年5月~2011年6月收治肱骨近端骨折26例.按Neer分型:Ⅱ型19例,Ⅲ型7例.术中骨折复位后采用锁定钢板固定,有骨缺损者取自体髂骨植骨.术后患肢用三角巾悬吊,3周后功能锻炼.结果26例均获得随访,随访时间8~17个月,平均11个月,无畸形愈合、感染、肱骨头坏死、内固定物松动断裂、肩关节撞击症、骨化性肌炎等.根据Neer评分,优10例,良13例,可2例,差1例,优良率88.5﹪.结论采用锁定钢板固定肱骨近端I、II型骨折疗效满意,是治疗肱骨近端骨折的较好选择.
목적탐토쇄정강판치료굉골근단골절적림상료효.방법회고성분석2008년5월~2011년6월수치굉골근단골절26례.안Neer분형:Ⅱ형19례,Ⅲ형7례.술중골절복위후채용쇄정강판고정,유골결손자취자체가골식골.술후환지용삼각건현조,3주후공능단련.결과26례균획득수방,수방시간8~17개월,평균11개월,무기형유합、감염、굉골두배사、내고정물송동단렬、견관절당격증、골화성기염등.근거Neer평분,우10례,량13례,가2례,차1례,우량솔88.5﹪.결론채용쇄정강판고정굉골근단I、II형골절료효만의,시치료굉골근단골절적교호선택.
Objective To observe the effect locking steel on the treatment of proximal humerus fracture. Methods The 26 cases who sffered from proximal humerus fracture were admitted from March 2008 to June 2011.Neer classification: Ⅱ 19 cases, Ⅲ 7 cases. The patients received treatment with autoalergic iliac bone grafted. Affected limb was suspled throught triangular bandage after operation, and the patients do functional exercises.. Result Al cases wrer folowed up from 8 months to 17 months (the means 11months), and there were no malunion, infection, necrosis of caput humeri, cinch and discrupt of internal fixation, articulatio humeri strike and ossifying myositis.On the basis of Neer score,Excelent in 10 cases, good in 13 cases, 2 cases, and poor in 1 case. The rate of Excelent and good is 88.5﹪. Conclusion The locking plate fixation of proximal humeral fractures with type I, II, is the treatment of proximal humeral fractures with the better choice.