摘要
目的:分析Multiloc髓内钉治疗老年肱骨近端骨折(PHF)的临床效果。方法:回顾性选取2019年1月—2022年12月博罗县人民医院收治的56例老年PHF患者。根据手术方法的不同将其分为对照组和研究组,各28例。对照组给予Phlios钢板治疗,研究组给予Multiloc髓内钉治疗。比较两组围手术期指标,骨折复位效果及并发症。结果:研究组手术时间、切口长度均短于对照组,术中出血量少于对照组,术后主动活动时间、完全负重活动时间均早于对照组,术后7 d视觉模拟评分法(VAS)评分低于对照组,治疗后肩关节前屈活动度、美国肩肘外科协会(ASES)评分均高于对照组,差异有统计学意义(P<0.05)。两组优良率、并发症发生率比较,差异无统计学意义(P>0.05)。结论:Phlios钢板治疗方案与Multiloc髓内钉治疗方案在PHF老年患者治疗中骨折复位效果相似,但后者在降低手术创伤、促进术后早期功能活动及改善肩关节活动方面更具有治疗优势。
Objective:To analyze the clinical effect of Multiloc intramedullary nail in the treatment of elderly proximal humerus fractures(PHF).Method:Fifty-six elderly patients with PHF treated in People's Hospital of Boluo County from January 2019 to December 2022 were retrospectively selected.According to the different surgical methods,they were divided into control group and study group,28 cases in each group.The control group was treated with Phlios plate and the study group was treated with Multiloc intramedullary nail.Perioperative indexes,fracture reduction effect and complications were compared between the two groups.Result:The operation time and incision length of the study group were shorter than those of the control group,the amount of intraoperative blood loss was less than that of the control group,the postoperative active activity time and full weight-bearing activity time were earlier than those of the control group,the visual analogue scale(VAS)score 7 d after the operation was lower than that of the control group,and the shoulder joint anterior flexor motion and American association of shoulder and elbow surgeons(ASES)score after treatment were higher than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the excellent and good rate and incidence of complication between the two groups(P>0.05).Conclusion:Phlios plate treatment plan and Multiloc intramedullary nail treatment plan have similar fracture reduction effects in elderly patients with PHF,but the latter has treatmnt advantages in reducing surgical trauma,promoting early postoperative functional activity and improving shoulder joint mobility.
作者
谢翰
王寿军
王鹤
XIE Han;WANG Shoujun;WANG He(People's Hospital of Boluo County,Boluo 516000,China;不详)
出处
《中外医学研究》
2024年第10期45-48,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
惠州市科技计划项目(220629204573273)。
