锁定接骨板与解剖接骨板治疗老年肱骨近端骨折的比较

目的：对比锁定接骨板与解剖接骨板治疗老年肱骨近端骨折的效果.方法：应用肱骨近端锁定接骨板及解剖接骨板治疗肱骨近端骨折56例.比较两种治疗方法在手术时间、术中出血量、术后疼痛评分、术后关节功能评分（score）等方面的差异.结果：56例均获随诊,随诊时间6～18个月,平均12个月.锁定接骨板组术中出血量（134.55±3...

Comparison of Locking Plate and Anatomical Plate in Treatment of Elderly Patients with Proximal Humerus Fractures

Objective：To compare the effects of locking plate and anatomical plate on elderly patients with proximal humerus fractures.Methods：The proximal humerus locking plate and ana-tomical plate were used to treat 56 cases of proximal humeral fractures.Operative time（min）,blood loss（mL）,postoperative pain score（score）,postoperative joint function score（score） were compared of two treatment methods.Results：56 patients were followed up for 6 months to 18 months,average of 12 months.Locking plate group blood loss（134.55±30.67）mL were less than the anatomical plate group（178.69±50.73）mL;operation time（79.65±20.37）min were less than anatomical plate group（96.87±30.63）min;postoperative pain VAS score（1.35±0.22）points were less than anatomical plate group（2.27±1.23）points;postoperative shoulder function Neer score（94.53±8.54）points and Constant score（90.26±10.37）points were higher than anatomical plate group.Differences were statistically significant（P0.05）.Conclusion：The treatment to proximal humerus fractures in aged patients with locking plate has more advantage than anatomical plate.