Efficacy of locking plate fixation with anti-osteoporosis drug treatment of older patients with proximal humeral fractures
10.3760/cma.j.issn.1008-6315.2015.02.005
- VernacularTitle:锁定钢板内固定联合抗骨质疏松药物治疗老年肱骨近端骨折的临床效果观察
- Author:
Jianjun SONG
;
Chunbin ZHAO
;
Shaohua PING
- Publication Type:Journal Article
- Keywords:
Locking plate fixation;
Caltrate D;
Frogfish calcitonin;
Alendronate;
Proximal humeral fractures
- From:
Clinical Medicine of China
2015;(2):110-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of the locking plate fixation with anti-osteoporosis drug in the treatment of older patients with proximal humeral fractures. Methods Sixty-two patients with proximal humeral fractures who were treated in Yuzhou Mining Company Hospital of Kailuan Group of Hebei Province from Feb. 2011 to Oct. 2013 were divided into observation group(n=30)and control group(n=32). Patients in both groups were given locking plate fixation,and patients in the observer group were also received anti-osteoporosis treatment. The information including hospitalization periods,efficacy and bone mineral density of the two groups was recorded. Results The hospitalization periods of the observation group and control group were (6. 9 ± 1. 0)d,(9. 5 ± 1. 1)d,and the difference was statistically significant(t=8. 426,P﹤0. 05). The efficacy in observer group was excellent in 17 cases,good in 10 cases,fair in 2 cases and poor in 1 case,and the efficacy of the control group was excellent in 14 cases,good in 10 cases,fair in 5 cases and poor in 3 cases. The difference was statistically significant(χ2 =4. 617,P ﹤0. 05 ). After the anti-osteoporosis treatment,the bone mineral density of the observer group and control group were( 0. 79 ± 0. 13)g/cm2 and(0. 66 ± 0. 05)g/cm, the difference was statistically significant( t =10. 251,P ﹤0. 05 ). Conclusion The effect of locking plate fixation with anti-osteoporosis drug is better with shorter hospital stay,safe and reliable,and it is worthy of clinical application.
