摘要
目的 比较肱骨近端骨折患者分别应用肱骨近端锁定钢板与髓内钉治疗的临床效果。方法 选择2021年1月至2022年12月濮阳市人民医院收治的95例肱骨近端骨折患者作为研究对象,通过随机数字表法分为对照组(n=48)与观察组(n=47)。对照组予以肱骨近端锁定钢板治疗,观察组予以髓内钉治疗,比较两组手术时间和切口长度、骨折愈合时间和颈干角、术后1周和术后1个月肩关节活动范围、术后肩关节功能评分、并发症发生率等。结果 观察组手术时间和切口长度均短于对照组(P<0.05)。观察组骨折愈合时间和颈干角差值均少于对照组(P<0.05)。术后1周,观察组前屈、外展、外旋肩关节活动范围均大于对照组(P<0.05)。术后1个月观察组前屈、外展、外旋、内旋肩关节活动范围均大于对照组(P<0.05)。观察组术后1个月、3个月、6个月肩关节功能评分均高于对照组(P<0.05)。观察组肩关节功能评分优良率高于对照组,并发症发生率低于对照组(P<0.05)。结论 与肱骨近端锁定钢板治疗比较,髓内钉治疗的手术时间和切口长度更短,可更好地改善患者肩关节活动范围,术后肩关节功能恢复更好,同时安全性高。
Objective To compare the clinical effects of proximal humeral locking plate and intramedullary nail on proximal humeral fractures.Methods Ninety-five patients with proximal humerus fracture in Puyang People’s Hospital from January 2021 to December 2022 were selected as the study objects and divided into observation group(n=47)and control group(n=48)by random number table method.The control group was treated with proximal humerus locking plate,and the observation group was treated with intramedullary nail.The operation time and incision length,fracture healing time and neck shaft angle,motion range of shoulder joint at one week and one month after operation functional score of shoulder joint after operation and complication rates were compared between the two groups.Results The operation time and incision length in the observation group were shorter than those in the control group(P<0.05).The fracture healing time and difference of neck-shaft angle in the observation group were less than those in the control group(P<0.05).One week after operation,the motion range of shoulder joint in the observation group was greater than that in the control group in flexion,abduction,and external rotation(P<0.05).At 1 month after operation,the motion range of shoulder joint in the observation group was greater than that in the control group in flexion,abduction,external rotation,and internal rotation(P<0.05).The shoulder joint function scores of the observation group were higher than those of the control group at 1 month,3 months and 6 months after operation(P<0.05).The excellent and good rate of shoulder joint function score of the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Compared with proximal humerus locking plate treatment,the operation time and incision length of intramedullary nail treatment are shorter,which can better improvethe motion range of the patient’s shoulder joint,improve the function of the shoulder joint after operation,and at the same time has high safety.
作者
刘士伟
Liu Shiwei(Department of Trauma Orthopedics,People’s Hospital of Puyang,Puyang 457000,China)
出处
《临床医学》
CAS
2024年第4期17-20,共4页
Clinical Medicine
关键词
肱骨近端锁定钢板
髓内钉
肱骨近端骨折
关节活动度
安全性
Proximal humerus locking plate
Intramedullary nail
Proximal humeral fractures
Range of motion of joints
Safety
