Clinical effect of bone grafting combined locking plate fixation on comminuted proximal humerus fractures
10.3969/j.issn.1673-9701.2025.29.007
- VernacularTitle:植骨联合锁定钢板固定治疗肱骨近端粉碎性骨折的临床效果
- Author:
Jianping FU
1
;
Yuan WU
1
;
Haiqun RAO
1
;
Pingyin WAN
1
;
Yang HU
1
Author Information
1. 武警江西总队医院骨科,江西南昌 330000
- Publication Type:Journal Article
- Keywords:
Comminuted proximal humerus fracture;
Bone grafting;
Locking plate fixation;
Shoulder function
- From:
China Modern Doctor
2025;63(29):27-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of bone grafting combined with locking plate fixation on the postoperative rehabilitation of patients with comminuted proximal humerus fractures.Methods A total of 84 patients with comminuted proximal humerus fractures who underwent surgery at Armed Forces Jiangxi General Hospital from January 2022 to July 2024 were enrolled.Using a randomized digital table method,the patients were divided into conventional group(n=42)and combined group(n=42).The combined group received bone grafting combined with locking plate fixation,while conventional group underwent single locked plate internal fixation.Perioperative indicators,shoulder joint function,range of motion,quality of life,and complications were compared between two groups.Results Compared with conventional group,intraoperative blood loss,surgical duration were longer while fracture healing time and hospitalization period were shorter in combined group,as well as postoperative drainage volume was lower(P＜0.05).Shoulder joint function of combined group was better than that of conventional group(P＜0.05).At 3 months after surgery,the short form health survey(SF-36)scores of patients in both groups were higher than those before surgery,and the SF-36 score of combined group was higher than that of conventional group(P＜0.05).The total incidence of complications in combined group was lower than that in conventional group,and the difference was statistically significant(P＜0.05).Conclusion Bone grafting combined with locking plate fixation for comminuted proximal humerus fractures is more safe,can shorten hospitalization time and fracture healing time,promote shoulder joint function improvement,improve patients' shoulder joint activity and quality of life.
