Comparison of open reduction and locking plating versus closed reduction and interlocking intramedullary nailing in treatment of humeral surgical neck fractures
10.3760/cma.j.cn115530-20201209-00758
- VernacularTitle:切开复位锁定钢板与闭合复位交锁髓内钉内固定治疗肱骨外科颈骨折的疗效比较
- Author:
Pengsheng YE
1
;
Shuxiang CHEN
;
Peng SUO
;
Jinrong HU
;
Jian CHEN
;
Zhonghua CHEN
;
Zhiming XU
Author Information
1. 江门市五邑中医院创伤骨科，广东省江门市 529000
- Keywords:
Shoulder joint;
Fracture fixation, internal;
Bone nails;
Humeral surgical neck fracture;
Closed reduction
- From:
Chinese Journal of Orthopaedic Trauma
2021;23(8):723-726
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the curative efficacy in the treatment of humeral surgical neck fractures between open reduction and locking plating versus closed reduction and interlocking intramedullary nailing.Methods:From July 2018 to July 2020, 60 patients with humeral surgical neck fracture were treated at Department of Orthorpaedic Trauma, Jiangmen Wuyi Hospital of Traditional Chinese Medicine. They were 24 males and 36 females, aged from 40 to 70 years and injured at the left side in 35 cases and at the right side in 25 ones. Of them, 30 underwent open reduction and locking plating (open group) and the other 30 closed reduction and interlocking intramedullary nailing (closed group). The 2 groups were compared in terms of operation time, intraoperative blood loss, surgical incision length, fracture healing time, Neer shoulder function scoring 3 months after surgery, and postoperative complications.Results:There were no statistically significant differences between the open and closed groups in preoperative general data, showing they were comparable ( P>0.05). The length of surgical incision [(5.2±1.1) cm], operation time [(34.3±12.7) min], intraoperative blood loss [(52.5±7.3) mL] and fracture healing time [(9.2±1.5) weeks] in the closed group were significantly better than those in the open group [(11.1±2.5) cm, (69.4±21.4) min, (123.5±5.2) mL and (14.2±3.4) weeks)] ( P<0.05). The excellent and good rate by Neer shoulder function scoring at 3 months after operation in the closed group (93.3%, 28/30) was significantly higher than that in the open group (66.7%, 20/30) ( P<0.05). There were no postoperative complications in either group. Conclusion:In the treatment of humeral surgical neck fractures, the curative efficacy of closed reduction and interlocking intramedullary nailing is better than that of open reduction and locking plating.
