南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (09): 1080-1081.

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老年人肱骨近端二部分和三部分移位骨折19例临床分析

莫新发, 何仲佳, 卓新明, 刘先银, 曾昕明, 郭建恩, 周雪明   

  1. 广东省东莞市人民医院骨外科, 广东, 广州, 523018
  • 出版日期:2004-09-20 发布日期:2004-09-20
  • 基金资助:
    收稿日期:2004-4-12。
    作者简介:莫新发(1957-),1980年毕业于中山医科大学,副主任医师,电话:0769-2231926

Clinical analysis of 19 elderly patients with displaced proximal humeral two- and three-part fractures

MO Xin-Fa, HE Zhong-Jia, ZHUO Xin-ming, LIU Xian-yin, ZENG Xi-ming, GUO Jian-en, ZHOU Xue-ming   

  1. 广东省东莞市人民医院骨外科, 广东, 广州, 523018
  • Online:2004-09-20 Published:2004-09-20

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摘要： 目的 探讨老年人肱骨近端二部分和三部分移位骨折的手术治疗方法。方法 回顾性分析19例老年肱骨近端二部分和三部分移位骨折患者的临床资料,其中二部分骨折13例、三部分骨折6例,采用切开复位,肱骨近端解剖钢板固定治疗。结果 二部分骨折术后优良率为76.9%,未出现骨折不愈合及肱骨头坏死;三部分骨折术后优良率为66.7%,肱骨头坏死率16.7%。结论 老年人肱骨近端二部分和三部分骨折应尽量采用有限切开复位,选择肱骨近端解剖钢板固定。

Abstract: Objective To analyze the surgical approaches for treating displaced proximal humeral two-and three-part fractures in elderly patients. Methods Nineteen elderly patients with displaced proximal humeral fractures were analyzed, including 13 patients with displaced two-part fractures and 6 with displaced three-part fractures. All the patients were treated by open reduction and fixation with humeral anatomical bone plates. Results The rate of excellent or good healing was 76.9% for two-part fractures without nonunion or humeral head necrosis, and was 66.7% for three-part fractures with a rate of humeral head necrosis of 16.7%. Conclusion Displaced proximal humeral fractures in elderly patients should be managed with minimal open reduction and fixed with humeral anatomical bone plate.

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