肱骨外科颈骨折手术治疗和手术治疗的临床研究.pdfVIP

Clinical Research on Surgical Neck of the Humerus Fracture treated by Non-surgical Treatment and Surgical Treatment Speciality：Orthopaedics of TCM Author ：Wang Rui Tutor：Prof. Qi Shangfeng Abstract Objective：To analyze and compare the therapeutic effect with humeral surgical neck of both non-surgical treatment and surgical treatment . Methods ：From July 2010 to September 2010, 60 patients with surgical neck of humerus fracture were divided into the A B two groups, 30 cases in A group and 30 cases in group B. Manipulative reduction with external splints fixation was administrated to the cases of group A, and , operation was administrated to the cases of group B. These patients were followed up from 6 months to 11 months with an average time 8.6 months.To observe the general situation before treatment,and X-ray re-inspected regularly. To observe the surgical neck of humerus fracture healing and to check the recovery of limb function after operation. Results: All fractures both of group A and B reached bone healing after operation. The clinical results were evaluated with the Constant and Murley shoulder function score. In group A, 13 cases achieved excellent result, 10 good, 3 fair, 2 failure, with the excellent and good rate 76.67%. In group B, 5 cases achieved excellent result, 14 good, 9 fair, 2 failure, with the excellent and good rate 63.33%. Conclusion：The treatment effect of Manipulative reduction with external splints fixation on Surgical Neck of the Humerus Fracture than operation can accelerate fracture healing, reduce shoulder joint adhesions and the incidence of postoperative complications, and was better to recovery of shoulder function. Key words Fracture of surgical neck humerus; Manipulative reduction; Operation; Shoulder joint function; Clinical