107 cases of proximal humeral fractures Clinical experience with surgical treatment.docVIP

 PAGE \* MERGEFORMAT 18 107 cases of proximal humeral fractures Clinical experience with surgical treatment [Abstract] Objective To summarize the surgical treatment of proximal humeral fracture efficacy, indications and surgical experience. Methods 107 patients with surgical indication in patients with proximal humeral fractures with screws and clover, respectively, plate or locking plate fixation of proximal humerus compare the two surgical methods of treatment. Results locking plate in the treatment group significantly better than clover plate group, locking plate excellent rate of 90% clover 81% excellent rate of steel. Conclusion in the treatment of proximal humerus fractures should be based on the patient’s age, bone quality, fracture type and location of the appropriate surgical choice. humerus surgical neck fracture of steel can be used clover, three, four-part fractures or humeral head fractures with locking plate better. large and small nodules fracture screws or a combination of choice plate. For plate fixation for fractures, necrosis of the humeral head or significantly affect the shoulder joint replacement surgery patients do. [Keywords:] of proximal humeral fractures; clover plate; screw; locking proximal humerus plate; fixation [Abstract] Objective To summarize the clinical curative effect, adaptive sign and the surgical treatment clinical experiences.Methods Retrospectively analyzed the therapy of the proximal humeral fractures in 107 patients and compared the outcome of the proximal humeral fractures by the screw and cloverleaf plate or the locking proximal humerus plate.Results Therapeautic outcome of the locking proximal humerus plate were obviously better than the cloverleaf plate, the good rate were 90%, P lt;0.05.Conclusion In the treatment of proximal humeral fractures, we should choose reasonable methods on the basis of the age, the quality of bone, the type of fracture and the position of the proximal humeral. We can select th