CAJ | 학술논문

目的：评价人工半肩关节置换术治疗老年肱骨近端粉碎性骨折的效果。方法选择老年肱骨近端粉碎性骨折患者88例，随机分为治疗组和对照组，每组44例，对照组采用钢板内固定术，治疗组采用人工半肩关节置换术。比较两组手术时间、术中出血量以及术后引流量；随访2年，比较两组关节功能优良率。结果与对照组比较，治疗组手术时间、术中出血量以及术后引流量均降低，关节功能优良率提高，差异有统计学意义（P＜0.05）。结论人工半肩关节置换术治疗老年肱骨近端粉碎性骨折可以减少患者的损伤，术后关节功能恢复良好。
목적：평개인공반견관절치환술치료노년굉골근단분쇄성골절적효과。방법선택노년굉골근단분쇄성골절환자88례，수궤분위치료조화대조조，매조44례，대조조채용강판내고정술，치료조채용인공반견관절치환술。비교량조수술시간、술중출혈량이급술후인류량；수방2년，비교량조관절공능우량솔。결과여대조조비교，치료조수술시간、술중출혈량이급술후인류량균강저，관절공능우량솔제고，차이유통계학의의（P＜0.05）。결론인공반견관절치환술치료노년굉골근단분쇄성골절가이감소환자적손상，술후관절공능회복량호。
Objective To evaluate the effect of the artificial semi shoulder joint replacement in treatment elderly patients with proximal humeral comminuted fracture.Methods88 cases of elderly patients with proximal humeral comminuted fracture were randomly divided into treatment group and control group, 44 cases in each group.The control group were treated with plate internal fixation,and the treatment group used semi artificial shoulder replacement. The operation time, bleeding volume and postoperative drainage volume were compared between the two groups.The two groups were folowed up for 2 years,the joint function excelent rate of the two groups was compared.ResultsCompared with the control group, the operative time, bleeding volume and postoperative drainage flow rate of the treatment group was significantly decreased,the excelent rate of joint function treatment group was increased(P<0.05).Conclusion Use artificial semi shoulder arthroplasty in the treatment of elderly patients with comminuted fractures of the proximal humerus can reduce the injury of the patients, and the recovery of joint function is good.