摘要
目的对比研究肱骨近端锁定钢板与解剖钢板内固定治疗老年肱骨近端骨折应用效果。方法将我院2016年6月～2017年5月治疗的84例老年肱骨近端骨折作为研究对象,将其运用随机数表法分为两组,各42例。对照组实施解剖钢板内固定,观察组实施肱骨近端锁定钢板内固定。观察两组临床指标、肩关节功能、并发症发生率、炎症因子水平等。结果两组骨折愈合时间、VAS评分、并发症发生率:观察组优于对照组,差异有统计学意义(P <0.05);肩关节功能恢复优良率:对照组71.43%,观察组92.86%,差异有统计学意义(P <0.05)。结论老年肱骨近端骨折采用肱骨近端锁定钢板治疗,具有缩短骨折愈合时间、术后并发症少,利于肩关节功能的恢复。
Objective: To compare the effects of locking proximal humerus plate(LPHP) and internal plate fixation on treatment of proxim al humeral fractures in elderly patients. Methods: Totally, 84 elderly patients undergoing proximal humeral fractures were admitted and treated in our hospital from June 2016 to May 2017. They were randomly divided into test group and control group with 42 patients in each group. Patients in control group were treated with internal plate fixation, while patients in test group were treated with LPHP. The clinical indexes, shoulder joint function, complications rate, and inflammation level were compared between the two groups. Results: The fracture concrescence time,VAS scores, complications rate in test group were significantly better than those in control group. The shoulder joint function in test group(92.86%) was significantly higher than that in control group(P < 0.05). Conclusions: Locking proximal humerus plate(LPHP) for treating pr oximal humeral fractures in elderly patients has advantages of shorter fracture concrescence time, less postoperative complication, benefiting for their recovery of shoulder joint function.
引文
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