摘要
目的:探讨锁定钢板与髓内钉对老年复杂肱骨近端骨折临床效果的影响。方法:选取2017年4月-2022年4月北京市房山区良乡医院收治的老年复杂肱骨近端骨折患者62例为观察对象,根据随机数字表法分为对照组和观察组,各31例。对照组患者给予锁定钢板治疗,观察组患者给予髓内钉治疗。比较两组患者肩关节活动度、临床指标、治疗效果和并发症情况。结果:治疗后,两组患者外旋、内旋、前屈、外展肩关节活动度均提高,观察组高于对照组,差异有统计学意义(P<0.05);观察组手术时间、骨折痊愈时间短于对照组,术中出血量少于对照组,疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:老年复杂肱骨近端骨折给予髓内钉治疗能增加患者肩关节活动度,减轻患者疼痛感,缩短骨折痊愈时间,提高治疗效果,降低并发症发生风险。
Objective:To investigate the effect of locking plates and intramedullary nailing on the clinical outcome of complex proximal humeral fractures in the elderly.Methods:62 cases of elderly patients with complex proximal humerus fractures admitted to Beijing Fangshan District Liangxiang Hospital from April 2017 to April 2022 were selected as observation subjects and divided into control group and observation group according to the random number table method,31 cases each.The patients in the control group were treated with locking plates and the patients in the observation group were treated with intramedullary nailing.The shoulder joint mobility,clinical indexes,treatment effect and complications of the two groups were compared.Results:After treatment,external rotation,internal rotation,forward flexion and abduction shoulder mobility improved in both groups,and the difference was statistically higher in the observation group than in the control group(P<0.05).The operation time and fracture healing time of the observation group were shorter than those of the control group,the intraoperative bleeding was less than that of the control group,and the pain score was lower than that of the control group,with statistically significant differences(P<0.05).The total efficiency of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Intramedullary nailing of complex proximal humerus fractures in the elderly can increase the mobility of the shoulder joint,reduce the pain of patients,shorten the healing time of the fracture,improve the treatment effect and reduce the risk of complications.
作者
杨波
史宗新
丛云海
朱治国
王立超
夏效泳
Yang Bo;Shi Zong-xin;Cong Yun-hai;Zhu Zhi-guo;Wang Li-chao;Xia Xiao-yong(Department of Orthopaedics,Liangxiang Hospital,Fangshan District,Beijing 102401,China)
出处
《中外医药研究》
2022年第12期18-20,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
锁定钢板
髓内钉
复杂肱骨近端骨折
肩关节活动度
Locking plate
Intramedullary nailing
Complex proximal humerus fracture
Shoulder mobility
