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比较分析

Abstract
Figure/Table
References (16)
Related Citation (2)

Download: PDF (0 KB) HTML (39 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo compare the clinical effect of locking intramedullary pin system and locking plate treating elderly proximal humerus fracture.MethodsClinical 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.ResultsThe 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).ConclusionLocking intramedullary pin system treating elderly proximal humerus fracture and its injury is little,recovery is quick.It is worthy of clinical promotion and application.

Key words： Locking intramedullary pin system Locking plate Elderly proximal humerus fracture

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YAN Li-jun
	HUANG Zhu

Cite this article:

YAN Li-jun,HUANG Zhu. The clinical comparison analysis of locking intramedullary pin system and locking plate treating elderly proximal humerus fracture[J]. 中国当代医药, 2017, 24(12): 64-66.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I12/64

[1]	陆坚，李云峰，王晖，等.微创钢板内固定结合肱骨近端锁定钢板在肱骨骨折治疗中的应用[J].中华关节外科杂志（电子版），2014，8（6）：765-768.
[2]	毕波，王小林，明小平，等.闭合／切开复位钛制弹性髓内针内固定治疗严重移位的儿童肱骨近端骨折[J].骨科，2014，5（3）：164-167.
[3]	李树伟，崔光辉，赵幸熬.锁定髓内针与锁定钢板治疗老年肱骨近端骨折的临床疗效[J].中国医药科学，2016，6（16）：198-200.
[4]	毕红宾，王永清，李毅，等.肱骨近端锁定钢板与髓内钉治疗老年肱骨近端二部分骨折疗效比较[J].中国中医骨伤科杂志，2015，23（12）：34-37.
[5]	张细祥，郭颖彬，苏源冰，等.锁骨中段骨折的髓内针与钢板固定的疗效比较[J].中国中医骨伤科杂志，2015，23（12）：42-45.
[6]	李一汉，赵会，刘清和，等.带锁髓内钉与锁定钢板治疗老年肱骨近端骨折的临床对比研究[J].北京医学，2015，37（11）：1044-1047.
[7]	许新忠，荆珏华，张积森，等.髓内钉固定术中斯氏针辅助闭合复位治疗多段股骨干骨折[J].中华创伤杂志，2015，31（4）：333-335.
[8]	胡宏伟，卓树涛，潘银华，等.弹性髓内针和微型钢板治疗A型掌骨骨折疗效的对比分析[J].中国矫形外科杂志，2015，23（8）：759-761.
[9]	Moon JG，Kwon HN，Biraris S，et al．Minimally invasive plate osteosynthesisusingahelicalplateformetadiaphysealcomplex fracture of the proximal humerus[J]．Orthopedics，2014，37（3）：237－243．
[10]	Pet MA，Ko JH，Friedly JL，et al.Traction neurectomy for treatment of painful residual limb neuroma in lower extremity amputees[J].J Orthop Trauma，2015，29（9）：e321-e325.
[11]	于海军.带锁髓内钉与锁定钢板治疗老年肱骨近端骨折的临床疗效对比分析[J].中国现代医生，2016，54（11）：42-45.
[12]	Mutch J，Laflamme GY，Hagemeister N，et al．A new morphological classification for greater tuberosity fractures of the proximal humerus：validation and clinical implications[J]. Bone Joint J，2014，96（5）：646-651．
[13]	杨争艳，李宗泽，胡海权，等.肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的临床效果比较[J].中国当代医药，2016，23（22）：103-105.
[14]	Chowdary U，Prasad H，Subramanyam PK，et al．Outcome of locking compression plating forproximal humeral fractures：a prospective study[J].J Orthop Surg（Hong Kong），2014，22（1）：4-8．
[15]	张伟，何静，张小军，等.肱骨近端锁定钢板治疗老年肱骨近端骨骨折的临床效果分析[J].中国现代医生，2015，53（12）：37-40.
[16]	黄安全，沈军，缪烨，等.微创技术与传统入路锁定钢板内固定治疗老年肱骨近端骨折的疗效比较[J].中国骨与关节损伤杂志，2016，31（11）：1147-1150.