CAJ | 학술논문

目的：探讨应用肱骨近端锁定加压钛板系统治疗老年肱骨外科颈骨折的疗效。方法总结2007年8月至2012年8月采用肱骨近端锁定加压钛板系统切开复位治疗老年肱骨外科颈骨折32例的临床资料，男13例，女19例；年龄59～78岁，平均66.7岁；Neer分型，二部分骨折7例，三部分骨折16例，四部分骨折9例。结果术后X线显示钛板螺钉位置良好，骨折复位满意，无神经血管损伤。手术时间平均（58±24）min，术中出血量平均（135±28）ml。根据Neer肩关节功能评分系统进行评分，优21例，良8例，可2例，差1例，优良率达90.6％。结论肱骨近端锁定加压钛板具有置钉角度科学、固定可靠、可早期行功能锻炼等优点，较适用于老年骨质疏松粉碎性肱骨外科颈骨折的治疗。
목적：탐토응용굉골근단쇄정가압태판계통치료노년굉골외과경골절적료효。방법총결2007년8월지2012년8월채용굉골근단쇄정가압태판계통절개복위치료노년굉골외과경골절32례적림상자료，남13례，녀19례；년령59～78세，평균66.7세；Neer분형，이부분골절7례，삼부분골절16례，사부분골절9례。결과술후X선현시태판라정위치량호，골절복위만의，무신경혈관손상。수술시간평균（58±24）min，술중출혈량평균（135±28）ml。근거Neer견관절공능평분계통진행평분，우21례，량8례，가2례，차1례，우량솔체90.6％。결론굉골근단쇄정가압태판구유치정각도과학、고정가고、가조기행공능단련등우점，교괄용우노년골질소송분쇄성굉골외과경골절적치료。
Objective To investigate the clinical effect of locking compression proximal humerus plate fixation for aged patients with humerus surgical neck fractures. Methods From August 2007 to August 2012, 32 aged patients with humerus surgical neck fractures (13 males, 19 females, with the mean age of 66.7 years old) underwent open reduction in-ternal fixation with locking compression proximal humerus plate. According to Neer classification, 7 cases of two parts frac-ture, 16 cases of three parts fractures and 9 cases of four parts fractures were included. Results The mean operation time was (58±24)min, the blood loss was (135±28)ml. According to the Neer criteria, the treatment results were excellent in 21 cases, good in 8 cases, fair in 2 cases and poor in 1 case. The rate of excellent and good effect was 90.6%. Conclusion Treatment of humerus surgical neck fracture in aged patients with locking compression plate can obtain reliable reduction, and with less complications and satisfactory therapeutic effect.