锁定钢板联合骨水泥或异体骨在老年肱骨近端骨折治疗中的疗效对比分析
发布时间：2019-01-08 20:02
【摘要】：肱骨近端锁定钢板固定技术近年来广泛应用于年轻人高能量粉碎性骨折及老年人骨质疏松骨折。本研究对应用肱骨近端锁定钢板联合异体骨或骨水泥治疗老年性肱骨近端不稳定骨折的临床效果进行比较分析。本组25例老年性肱骨近端骨折患者行切开复位肱骨近端锁定钢板内固定联合异体骨植骨或骨水泥填塞治疗。术后均随访12个月以上。所有患者无感染、内固定松动断裂、骨折不愈合及肱骨头坏死等情况,骨折愈合时间平均3.8个月(3个月~7个月)。结果提示:肱骨近端锁定钢板联合异体骨植骨或骨水泥填塞治疗老年性肱骨近端骨折的临床效果均比较满意,使用骨水泥填塞远期功能恢复更好。
[Abstract]:Locking plate fixation of proximal humerus has been widely used in high energy comminuted fractures in young people and osteoporosis fractures in the elderly in recent years. In this study, the clinical effects of locking plate of proximal humerus combined with allogeneic bone or bone cement in the treatment of senile proximal humeral unstable fracture were compared and analyzed. 25 cases of senile proximal humerus fracture were treated with open reduction and internal fixation with locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade. All patients were followed up for more than 12 months. No infection, loose fracture of internal fixation, nonunion of fracture and necrosis of brachial head were found in all patients. The average healing time of fracture was 3.8 months (3 ~ 7 months). The results suggest that the clinical effect of locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade in the treatment of senile proximal humerus fracture is satisfactory and the long-term function recovery with bone cement tamponade is better.
【作者单位】： 大连市第三人民医院创伤手外科;大连医科大学附属第三医院;
【分类号】：R687.32
，
本文编号：2405055
[Abstract]:Locking plate fixation of proximal humerus has been widely used in high energy comminuted fractures in young people and osteoporosis fractures in the elderly in recent years. In this study, the clinical effects of locking plate of proximal humerus combined with allogeneic bone or bone cement in the treatment of senile proximal humeral unstable fracture were compared and analyzed. 25 cases of senile proximal humerus fracture were treated with open reduction and internal fixation with locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade. All patients were followed up for more than 12 months. No infection, loose fracture of internal fixation, nonunion of fracture and necrosis of brachial head were found in all patients. The average healing time of fracture was 3.8 months (3 ~ 7 months). The results suggest that the clinical effect of locking plate of proximal humerus combined with allograft bone graft or bone cement tamponade in the treatment of senile proximal humerus fracture is satisfactory and the long-term function recovery with bone cement tamponade is better.
【作者单位】： 大连市第三人民医院创伤手外科;大连医科大学附属第三医院;
【分类号】：R687.32
，
本文编号：2405055
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