摘要
目的:探讨交锁髓内钉与锁定接骨板治疗老年内翻型肱骨近端骨折的效果。方法:将我院2019年2月至2021年12月期间收治的82例老年内翻型肱骨近端骨折患者随机分为观察组和对照组,对照组41例予以锁定接骨板固定术,观察组41例予以交锁髓内钉固定术,观察两组患者围手术期情况、肩关节疼痛程度、活动范围、肱骨近端形态以及并发症发生率。结果:观察组手术时间、切口长度、切口愈合时间、住院时间、骨折愈合时间短于对照组,术中出血量少于对照组(P<0.05);术后1周、1个月、3个月,观察组VAS评分低于对照组(P<0.05),观察组前举范围大于对照组(P<0.05);术后1周及12个月,两组肱骨颈干角对比差异无统计学意义(P>0.05);观察组并发症发生率(4.88%)低于对照组(19.51%)(P<0.05)。结论:交锁髓内钉治疗老年内翻型肱骨近端骨折有助于缩短手术时间,减小切口长度,减少术中出血量,加快切口和骨折愈合,减轻患者疼痛,促进肩关节功能恢复,降低术后并发症发生率,且不会引起肱骨颈干角丢失。
Objective:To explore the effectiveness of interlocking intramedullary nails and locking plates in the treatment of elderly proximal humeral fractures with varus.Method:82 elderly patients with varus proximal humeral fractures admitted to our hospital from February 2019 to December 2021 were randomly divided into an observation group and a control group.The control group consisted of 41 patients who underwent locking plate fixation,while the observation group consisted of 41 patients who underwent interlocking intramedullary nail fixation.The perioperative conditions,degree of shoulder joint pain,range of motion,proximal humeral morphology,and incidence of complications were observed in both groups.Result:The observation group had shorter surgical time,incision length,incision healing time,hospitalization time,and fracture healing time compared to the control group,with less intraoperative bleeding compared to the control group(P<0.05);At 1 week,1 month,and 3 months after surgery,the VAS score of the observation group was lower than that of the control group(P<0.05),and the range of lifting in the observation group was greater than that of the control group(P<0.05);At 1 week and 12 months after surgery,there was no statistically significant difference in the comparison of the humeral neck shaft angle between the two groups(P>0.05);The incidence of complications in the observation group(4.88%)was lower than that in the control group(19.51%)(P<0.05).Conclusion:The treatment of elderly proximal humeral fractures with interlocking intramedullary nails can help shorten surgical time,reduce incision length,reduce intraoperative bleeding,accelerate incision and fracture healing,reduce patient pain,promote shoulder joint function recovery,reduce postoperative complications,and do not cause loss of humeral neck angle.
作者
曹兵
胡建斌
Cao Bing(Enshi Central Hospital,Enshi Hubei 445000)
出处
《黑龙江医药》
CAS
2023年第4期765-768,共4页
Heilongjiang Medicine journal
基金
湖北省卫生健康委员会科研项目(立项编号:WJ2021F098),课题名称:硒蛋白在膝关节退行性骨关节炎的病因及发病机制的相关性研究。
关键词
肱骨近端骨折
交锁髓内钉
锁定接骨板
Proximal humeral fracture
Interlocking intramedullary nail
Locking the bone plate
