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。%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 .
展开▼
