Clinical comparison of proximal humeral locking plate and traditional AO plate in treatment of the elderly with proximal humerus fracture
10.3760/cma.j.issn.1008-6706.2013.15.015
- VernacularTitle:肱骨近端锁定钢板与传统AO钢板治疗老年人肱骨近端骨折的临床疗效比较
- Author:
Xinyu ZHANG
- Publication Type:Journal Article
- Keywords:
Humerus;
Fractures;
Fracture fixation,internal;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(15):2276-2278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of proximal humeral locking plate and traditional AO plate in treatment of the elderly with proximal humerus fracture.Methods 96 elderly patients with proximal humerus fracture were divided into observation group and control group by random number table,48 cases in each group.The control group was treated with traditional AO plate,while the observation group was treated with proximal humeral locking plate.Results 1 month,3 months and 1 year after operation,the SPADI index were (75.3 ± 3.1) points,(57.2 ± 2.7) points and (35.1 ± 2.2) points in the observation group,which were significantly lower than (87.1 ±2.8) points,(68.8 ± 2.9) points and (44.6 ± 2.5) points of the control group (t =8.442,7.025,6.293,all P ＜0.05).Excellent clinical efficacy of the observation group accounted for 72.92％,which was significantly higher than 54.17％ of the control group (x2 =3.64,P ＜ 0.05) ; the poor efficacy of observation group accounted for 8.33％,which was significantly lower than the 22.91％ of the control group (x2 =3.87,P ＜ 0.05).Conclusion The proximal humeral locking plate has good clinical efficacy for the treatment of the elderly with proximal humerus fractures,and it is worth to be promoted in clinical.
