Analysis of locking plate in the treatment of proximal humerus fractures
10.3969/j.issn.1671-8348.2015.05.032
- VernacularTitle:大、小结节的解剖愈合对肱骨近端骨折的疗效影响分析
- Author:
Fangliang PENG
;
Yulong SHANG
;
Jinbo DONG
;
Weishan WANG
;
Jianhua SUN
;
Bin HE
- Publication Type:Journal Article
- Keywords:
humerus fractures,proximal;
locking-plate;
Neer score
- From:
Chongqing Medicine
2015;(5):667-669
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical and radiological results of locking plate for treatment of proximal humerus frac‐tures and the efficacy of anatomical healing of tuberosities .Methods A total of 57 patients with proximal humerus fractures were treated with locking‐plate from July 2008 to March 2012 .A standardized radiological evaluation was conducted .Patients were divid‐ed into two groups :group A (anatomical healing of tuberosities) with 31 cases and group B (without anatomical healing of tuberosi‐ties) with 26 cases .Clinical assessment was performed using the Neer rating scale .Results Considering the entire sample ,the mean Neer score was 87 .96 ± 5 .06 points ,the excellent rate was 94 .74℅ .Comparing these parameters in the two groups ,group A was significant higher in the Neer scores and the range of movement than that of group B (P<0 .05) ,there was no statistic differences in the scores of pain and function (P>0 .05) .Conclusion the locing plate for treatment of complex proximal humerus fractures has a high subjective satisfaction rate .A good functional result depends on anatomical reestablishment of proximal humerus anatomy , particularly the healing of the greater tuberosity .
