经三角肌外侧纵行分开入路锁定钢板内固定治疗肱骨近端骨折的效果观察

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Abstract ObjectiveTo explore the efficacy of locking plate fixation with deltoid lateral separate approach in the treatment of proximal humeral fractures.Methods65 cases with proximal humerus fracture treated in our hospital from March 2011 to May 2016 were selected as the subjects,and divided into the observation group(32 cases)and control group(33 cases)according to the different operative approaches.The patients in the observation group were treated with locking plate fixation by dehopectoral approach,and the patients in the control group were treated with locking plate fixation by lateral deltoid approach approach.The intraoperative blood loss,operation time,fracture healing time,postoperative complication rate,Constant scores of shoulder function at different times after operation were observed in two groups.ResultsThe intraoperative blood loss of the observation group was(90.2±29.9)ml,and the control group was(240.1±64.9)ml.The fracture healing time of two groups was([79.9±1.7]、[91.0±2.2]d).The difference between the two groups was statistically significant(P＜0.05).There was no significant difference between the observation group([71.9±14.9]min)and the control group ([69.8±15.7]min)in the operation time(P＞0.05).The incidence of postoperative complications in the observation group(6.3%)was lower than that in the control group(15.2%),the difference was statistically significant(P＜0.05).Constant scores in the observation group were better than those in the control group at 3 months after operation,the difference was statistically significant(P＜0.05).ConclusionThe lateral deltoid approach with locking plate fixation has advantages with dehopectoral approach in treatment of proximal humeral fractures,less intraoperative bleeding,shorter fracture healing time,faster recovery of shoulder function and less postoperative complications,which is worth a wide application.

Key words： Deltoid lateral separate approach Dehopectoral approach Proximal humeral fractures Locking plate fixation

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	GUO Wen-long

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GUO Wen-long. The clinical efficacy of locking plate fixation with deltoid lateral separate approach in the treatment of proximal humeral fractures[J]. 中国当代医药, 2018, 25(4): 97-99.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I4/97

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