Comparison of the Clinical Efficacy of Minimally Invasive Locking Plate and Traditional Open Reduction with Internal Fixation in the Treatment of Proximal Humerus Fractures
10.13241/j.cnki.pmb.2017.27.043
- VernacularTitle:微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效比较
- Author:
Xiliang DANG
;
Haopeng LI
;
Jian ZHANG
;
Yumin LI
;
Dongsheng WU
- Keywords:
Minimally invasive locking plate;
Traditional open reduction with internal fixation;
Proximal humerus fractures;
Clinical efficacy
- From:
Progress in Modern Biomedicine
2017;17(27):5369-5372
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the clinical efficacy of minimally invasive locking plate and the traditional open reduction with internal fixation in the treatment of proximal humerus fractures.Methods:89 cases of patients with proximal humeral fractures were selected and divided into two groups according to different surgical methods.The observation group (45 cases) was given minimally invasive locking plate,while the control group (44 cases) was treated with the traditional open reduction and internal fixation.The operation time,hospitalization time,fracture healing time,intraoperative blood loss,Neer score and Constant-Murley score at 1 month after postoperatiion were compared between two groups.Results:The operation time,hospitalization,fracture healing time of observation group were significantly shorter than those of the control group,and the bleeding amount of observation group was less than that of the control group (P＜0.05).At 1 months after operation,the Constant-Murley scores of observation group were significantly better than those of the control group (P＜0.05).The For Neer scores,excellent rate of observation group (91.1％) were significantly higher than those of the control group (68.1％,P＜0.05).Conclusion:Compared with the traditional open reduction with internal fixation,minimally invasive locking plate was better,safer,faster and more effectively for promoting the recovery of shoulder function of patient with proximal humerus fractures.
