肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的临床疗效

目的:研究肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的临床疗效。方法:选取92例老年肱骨外科颈骨折患者作为研究对象。根据数字法随机将患者分成观察组及对照组,各含46例。其中对照组予以解剖钢板术式治疗,观察组则予以肱骨近端的锁定加压钢板术式治疗。对比两组不同治法的疗效,两组患者的手术相关指标,两组患者治疗后的肩关节活动度以及两组患者治疗前后的Constant评分及VAS评分。结果:观察组的优良率是89.13%(41/46),显著高于对照组的76.09%(35/46),差异有统计学意义(P0.05)。观察组的术程、手术出血量以及住院时间和骨折的愈合时间均分别显著少于对照组,差异均有统计学意义(均P0.05)。观察组的肩关节活动度显著大于对照组,差均有统计学意义(P0.05)。治疗后观察组的Constant评分及VAS评分均分别显著高于对照组,差异均有统计学意义(均P0.05)。结论:利用肱骨近端的锁定加压钢板术式治疗FSNH,能够帮助患者获得更为积极的临床预后,值得在临床治疗过程中推广应用。

Clinical Efficacy of Proximal Humerus Locking Compression Plate and Anatomical Plate for Elderly Patients with Fracture of Surgical Neck of Humerus

Objective:To study the clinical efficacy of proximal humerus locking compression plate and anatomical plate in the treatment of elderly patients with fracture of surgical neck of humerus.Methods:The study was performed in 92 patients with FSNH who accepted the treatment in our hospital. According to the digital method, they were randomly divided into observation group and control group with 46 cases each group. The control group was given anatomic plate surgical treatment, while the observation group was treated with proximal humerus locking compression plate surgical treatment. The treatment effects, operation related indexes, activity of shoulder joint after treatment, Constant and VAS score before and after treatment were observed and compared between the two groups.Results:The excellent and good rate of the observation group was 89.13%(41/46), significantly higher than that in control group 76.09%(35/46), and the difference was statistically significant (P<0.05). The operation course, amount of bleeding, hospitalization time and fracture healing time of observation group all were significantly less than those of the control group, with statistically significant difference (P<0. 05). In observation group, the shoulder joint activity was greater than in the control group, and the difference was statistically significant (P<0.05). After the treatment, the Constant score and VAS score of the observation group were significantly higher than those of the control group, and the difference was also statistically significant (P<0.05).Conclusion:Locking compression plate in surgical treatment of FSNH can help patients get more actively clinical prognosis. It is worthy to popularize in the clinical course of treatment.