重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
5期
667-669
,共3页
王艳涛%彭方亮%尚玉龙%董金波%王维山%孙建华%何斌
王豔濤%彭方亮%尚玉龍%董金波%王維山%孫建華%何斌
왕염도%팽방량%상옥룡%동금파%왕유산%손건화%하빈
肱骨骨折,近端%锁定钢板%Neer评分
肱骨骨摺,近耑%鎖定鋼闆%Neer評分
굉골골절,근단%쇄정강판%Neer평분
humerus fractures,proximal%locking-plate%Neer score
目的:探讨锁定钢板治疗肱骨近端骨折的临床和影像学结果,以及结节的解剖愈合对肱骨近端骨折的疗效影响。方法回顾性分析2008年7月至2012年3月收治的57例行锁定钢板治疗的肱骨近端骨折患者,骨折复位及愈合情况应用影像学进行评估,患者分为两组:A组31例(结节解剖愈合)和B组26例(结节非解剖愈合)。用Neer评分标准评估肩关节功能。结果全部样本平均Neer肩关节功能评分为(87.96±5.06)分,总体优良率94.74%。A组Neer评分总分明显高于B组(P<0.05),两组间疼痛及功能评分差异均无统计学意义(P>0.05),A组运动范围评分优于B组(P<0.05)。结论锁定钢板治疗复杂肱骨近端骨折可取得较为满意疗效,大结节的解剖复位与愈合可以改善肩关节运动范围。
目的:探討鎖定鋼闆治療肱骨近耑骨摺的臨床和影像學結果,以及結節的解剖愈閤對肱骨近耑骨摺的療效影響。方法迴顧性分析2008年7月至2012年3月收治的57例行鎖定鋼闆治療的肱骨近耑骨摺患者,骨摺複位及愈閤情況應用影像學進行評估,患者分為兩組:A組31例(結節解剖愈閤)和B組26例(結節非解剖愈閤)。用Neer評分標準評估肩關節功能。結果全部樣本平均Neer肩關節功能評分為(87.96±5.06)分,總體優良率94.74%。A組Neer評分總分明顯高于B組(P<0.05),兩組間疼痛及功能評分差異均無統計學意義(P>0.05),A組運動範圍評分優于B組(P<0.05)。結論鎖定鋼闆治療複雜肱骨近耑骨摺可取得較為滿意療效,大結節的解剖複位與愈閤可以改善肩關節運動範圍。
목적:탐토쇄정강판치료굉골근단골절적림상화영상학결과,이급결절적해부유합대굉골근단골절적료효영향。방법회고성분석2008년7월지2012년3월수치적57례행쇄정강판치료적굉골근단골절환자,골절복위급유합정황응용영상학진행평고,환자분위량조:A조31례(결절해부유합)화B조26례(결절비해부유합)。용Neer평분표준평고견관절공능。결과전부양본평균Neer견관절공능평분위(87.96±5.06)분,총체우량솔94.74%。A조Neer평분총분명현고우B조(P<0.05),량조간동통급공능평분차이균무통계학의의(P>0.05),A조운동범위평분우우B조(P<0.05)。결론쇄정강판치료복잡굉골근단골절가취득교위만의료효,대결절적해부복위여유합가이개선견관절운동범위。
Objective To evaluate the clinical and radiological results of locking plate for treatment of proximal humerus frac‐tures and the efficacy of anatomical healing of tuberosities .Methods A total of 57 patients with proximal humerus fractures were treated with locking‐plate from July 2008 to March 2012 .A standardized radiological evaluation was conducted .Patients were divid‐ed into two groups :group A (anatomical healing of tuberosities) with 31 cases and group B (without anatomical healing of tuberosi‐ties) with 26 cases .Clinical assessment was performed using the Neer rating scale .Results Considering the entire sample ,the mean Neer score was 87 .96 ± 5 .06 points ,the excellent rate was 94 .74℅ .Comparing these parameters in the two groups ,group A was significant higher in the Neer scores and the range of movement than that of group B (P<0 .05) ,there was no statistic differences in the scores of pain and function (P>0 .05) .Conclusion the locing plate for treatment of complex proximal humerus fractures has a high subjective satisfaction rate .A good functional result depends on anatomical reestablishment of proximal humerus anatomy , particularly the healing of the greater tuberosity .