Comparative observation of small splint and locking proximal humerus plate for the treatment of closed fracture of surgical neck of humerus
10.3760/cma.j.issn.1673-4904.2011.35.012
- VernacularTitle:小夹板和肱骨近端锁定钢板治疗闭合性肱骨外科颈骨折的对比观察
- Author:
Han ZHEN
- Publication Type:Journal Article
- Keywords:
Splints;
Humeral fractures;
Locking plate
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(35):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clincial effect of small splint and locking proximal humerus plate(LPHP) for the treatment of closed fracture of surgical neck of humerus.Methods The clinical data of 130 cases of closed fracture of surgical neck of humerus using small splint and LPHP from October 2006 to January 2011 was retrospectively analyzed.Patients were divided into two groups with 65 cases each by random number table,splint group was fixed proximal humerus with small splitn,LPHP group was fixed with LPHP.Comparing the Constant-Murley shoulder score and radiographic evaluation between two groups.Results According to Constant-Murley shoulder score:the excellent rate was 30.8％(20/65 )of splint group,significantly lower than that of LPHP group [ 61.5％(40/65 ) ],the difference was statistically significant (P ＜0.05 ).According to radiographic evaluation:the excellent rate was 33.8％(22/65 )of splint group,significantly lower than that of LPHP group [ 72.3％ (47/65) ],the difference was statistically significant (P ＜ 0.05).Conclusion LPHP internal fixation for proximal humeral surgical neck fracture patients can get a good reset,fixed reliability,fewer complications,which is an effective method of treatment.
