肱骨近端锁定钢板结合同种异体骨移植治疗老年肱骨外科颈骨折的疗效

摘要

Objective To study therapeutic effect of locking proximal humerus plate combined with allogeneic boneal for the treatment of fracture of surgical neck of humerus. Methods From 2009 January to 2011 June, 98 cases of fracture of surgical neck of humerus were randomly divided into observation and control groups, observation group was given locking proximal humerus plate combined with allogeneic boneal for the treatment, control group was given the proximal humeral locking plate, Neer function evaluation was used to analyze clinical therapeutic effect. Results The follow-up time was 6 ~ 17 ( 10. 2 ±5. 2) month. The satisfactory rate of observation group was 97. 9% (47/49), it was 75.5% (37/49) in control group, the two groups had significant difference,X2 = 15.235, P = 0.001. Conclusions The clinical effect of locking compression plate combined with allograft bone implantation treating fracture of surgical neck of humerus is identified , consistent with biomechanical principle, it is worth learning and promotion.%目的 研究肱骨近端锁定钢板结合同种异体骨治疗老年人肱骨外科颈骨折的临床治疗效果.方法 2009年1月至2011年6月,收集老年肱骨外科颈骨折住院患者98例,随机均分为观察组与对照组,观察组进行肱骨近端锁定钢板结合同种异体骨移植治疗,对照组只予肱骨近端锁定钢板治疗,随访进行Neer肩关节功能评定,比较分析其临床治疗效果.结果 本组98例患者均进行了至少6个月的随访,随访时间6～17个月,平均( 10.2±5.2)个月.观察组治疗效果满意率97.9％( 47/49),对照组75.5％ (37/49),二者比较差异有统计学意义,(x2=15.235,P=0.001).结论 老年肱骨外科颈骨折进行锁定加压钢板联合同种异体骨植入治疗临床效果较确定,符合生物力学固定原则,值得借鉴和推广.