摘要
目的比较锁定髓内针系统与锁定钢板治疗老年肱骨近端骨折的临床效果。方法分析广州市中西医结合医院2014年2月~2016年2月收治的48例老年肱骨近端骨折患者的临床资料,依据治疗措施不同进行分组,锁定髓内针系统组24例和锁定钢板组24例。观察两组患者的手术相关指标、术后Neer评分、术后并发症情况。结果锁定钢板组患者的切口长度、术中出血量、手术时间、愈合时间高于锁定髓内针组,差异有统计学意义(P<0.05)。两组患者手术后疼痛、肌力、日常活动、关节活动范围评分及总分差异均无统计学意义(P>0.05)。两组患者手术后固定松动或断裂、关节活动障碍或者疼痛、骨折不愈合或者延迟愈合发生率差异均无统计学意义(P>0.05)。结论锁定髓内针系统治疗老年肱骨近端骨折,创伤小,恢复快,值得临床推广应用。
Objective To compare the clinical effect of locking intramedullary pin system and locking plate treating elderly proximal humerus fracture.Methods Clinical data of 48 elderly patients with proximal humerus fracture in Integrated Chinese and Western Medicine Hospital from February 2014 to February 2016 were analyzed,and they were divided into two groups by different treatment methods：locking intramedullary pin system group （24 cases） and locking plate group （24 cases）.The operation correlation index,Neer score after operation,postoperative complications between two groups were observed.Results The incision length,intraoperatve blood soss,operation time,healing time of locking plate group were higher than those of locking intramedullary pin system group,and the differences were statistical significance （P〈0.05）.There was no statistical difference in score of pain,after operation,myodynamia,daily activities,range of joint motion,total score between two groups （P〉0.05）.There was no statistical difference in the internal fixation loosening or breakage,articular dyskinesia or pain,nonunion or delayed union rate between two groups （P〉0.05）.Conclusion Locking intramedullary pin system treating elderly proximal humerus fracture and its injury is little,recovery is quick.It is worthy of clinical promotion and application.
出处
《中国当代医药》
2017年第12期64-66,共3页
China Modern Medicine
关键词
锁定髓内针系统
锁定钢板
老年肱骨近端骨折
Locking intramedullary pin system
Locking plate
Elderly proximal humerus fracture
