肱骨近端复杂骨折临床治疗分析
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摘要
目的探讨肱骨近端复杂骨折的临床治疗效果。方法选取112例肱骨近端复杂骨折患者进行研究,以入院时间奇偶数为依据将其分为两组,分别行经皮穿刺内固定术(对照组56例)与锁定钢板内固定术(观察组56例)治疗,对比两组临床效果。结果采用不同方式治疗后观察组与对照组患者治疗优良率分别为87.5%、69.6%,观察组明显高于对照组(P<0.05);两组患者治疗后均无内固定松动、断裂等严重不良反应发生。结果针对肱骨近端复杂骨折患者实施锁定钢板内固定术治疗效果显著,可在临床上应用。
Objective To investigate the clinical effects of complicated proximal humeral fractures.Methods One hundred and twelve cases of patients with complicated fracture of proximal humerus in our hospital were collected and divided into control group and experimental group based on odd or even number of hospital admission,with each group 56 cases.The patients in the control group received percutaneous internal fixation treatment,and the patients in the experimental group received locking plate internal fixation treatment.The clinical effects of the two groups were compared.Results After treatment with different methods,the excellent and good rates of the experimental group and the control group were 87.5% and 69.6% respectively,and the experimental group was significantly higher than that of the control group(p<0.05).Internal fixation,loosening,fracture and other serious adverse reactions of the two groups did not occur.Conclusion The application of locking plate fixation in the treatment of complicated proximal humeral fractures was effective and could be popularized in clinical practice.
Objective To investigate the clinical effects of complicated proximal humeral fractures.Methods One hundred and twelve cases of patients with complicated fracture of proximal humerus in our hospital were collected and divided into control group and experimental group based on odd or even number of hospital admission,with each group 56 cases.The patients in the control group received percutaneous internal fixation treatment,and the patients in the experimental group received locking plate internal fixation treatment.The clinical effects of the two groups were compared.Results After treatment with different methods,the excellent and good rates of the experimental group and the control group were 87.5% and 69.6% respectively,and the experimental group was significantly higher than that of the control group(p<0.05).Internal fixation,loosening,fracture and other serious adverse reactions of the two groups did not occur.Conclusion The application of locking plate fixation in the treatment of complicated proximal humeral fractures was effective and could be popularized in clinical practice.
引文
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[8]刘建,田宝方,王文珠,等.局部注射辛伐他汀修复轻中度不稳定肱骨骨折:对骨愈合及骨密度的影响[J].中国组织工程研究,2015,19(37):5933-5937.
[2]李朋,杜传林,杨广友,等.MIPPO技术结合锁定加压钢板治疗肱骨干骨折的临床疗效分析[J].解放军医学杂志,2016,41(12):1037-1040.
[3]李莹,査晔军,李庭,等.两种手术入路治疗肱骨远端冠状面剪切骨折的临床效果[J].北京大学学报:医学版,2016,48(6):1026-1031.
[4]吴焘,张国秋.微创锁定加压钢板内固定改善老年肱骨近端骨折患者的肩关节功能:随机对照临床试验方案[J].中国组织工程研究,2016,20(44):6655-6660.
[5]赵刚,刘昊楠,李宁,等.锁定加压钢板与顺行交锁髓内钉治疗肱骨干骨折的中期疗效观察[J].中华医学杂志,2016,96(37):2988-2992.
[6]罗冬冬,颉强,马益善,等.经皮克氏针固定儿童肱骨髁上骨折术中外侧进针点的定位方法研究[J].中华创伤骨科杂志,2016,18(7):597-601.
[7]孙涛,王建航,栾景杰.自体富血小板血浆联合自体髂骨移植修复肱骨髁部骨缺损性骨不连的疗效[J].中华创伤骨科杂志,2016,18(6):498-502.
[8]刘建,田宝方,王文珠,等.局部注射辛伐他汀修复轻中度不稳定肱骨骨折:对骨愈合及骨密度的影响[J].中国组织工程研究,2015,19(37):5933-5937.