锁定钢板治疗肱外科颈骨折neer ⅱ、ⅲ型的临床疗效分析.pdfVIP

Locking plate for treatment of humeral surgical neck fractures to Neer Ⅱ、Ⅲ clinical efficacy Speciality：Clinics for Chinese science Author ：LiHaisheng Tutor：prof. Xie Jin Abstract Objective: from the treatment of neck fractures of the humerus surgery in the choice in the current fixed method with extensive clinical application of locking plates in the clinical observation and research, and to sum up the in the treatment of advantages and disadvantages, so as to when the clinical treatment of internal fixation of the choice to provide help. Methods: sep 2009 to October2011, 35 patients proximal humeral locking plate in surgical treatment of patients with fracture of the humerus neck, age 24 to 88 years, on average, 61 years old, male 13 cases, female 22 cases, left 17 cases, right 18 cases). 5 cases of sports injury, 16 cases of traffic injury, 14 cases of fall; Neer points according to the type method, Neer Ⅱ fractures in 15 cases, Neer Ⅲ fracture 20 cases. All 35 cases were open reduction by operation proximal humeral locking plate fixation treatment, early postoperative guide patient exercise shoulder function, after nine months of patients with Neer scoring system to after the evaluation of surgical treatment effect. Results: all patients were obtained for 35 cases were followed up 6 ~ 20 months time, the average follow-up period was 9.5 months. All osseous healing fracture, healing time for 4 ~ 10 weeks, and the average six weeks. The cases were no wound infection, nerve damage, steel plate fracture and blood vessels screw loose, cut out, the head of the humerus necrosis complications. According to Neer rating system after fractures cu