Anatomical plate for the treatment of proximal humeral fractures.docVIP

 PAGE \* MERGEFORMAT 10 Anatomical plate for the treatment of proximal humeral fractures Keywords: proximal humeral fractures Proximal humeral fractures are common clinical fractures, mostly mild or no displacement of the stability of the displaced fractures, non-surgical treatment can be used to achieve a satisfactory efficacy, but for non-surgical treatment of unstable fracture, there is a long treatment time and there is shoulder dysfunction side effects. In recent years, a lot of surgical treatment, individual reports of clinical efficacy of different. From May 2003 to May 2007, the Court used surgical treatment of proximal humeral anatomy of proximal humerus plate fractures, 22 cases achieved good effect. Reported as follows. A clinical data 1.1 General Information The group of 22 cases, including 13 males and 9 females, aged 19 to 74 years (mean 46.5 years); height of fall injury in 8 cases, 6 cases of car accidents, falls flat in 5 cases, 3 patients injured by heavy objects. Merger shoulder dislocation in 3 cases. Fractures according to Neer classification [1], two fractures in 9 cases, three fractures in 10 cases, four fractures in 3 cases. All patients with plate fixation of proximal humeral anatomy. 1.2 surgical Shoulder surgery is being proactive lateral film, CT scan lines some cases three-dimensional reconstruction. Patients taking supine position, general anesthesia or brachial plexus anesthesia, the risk of high pad. Taking anterior lateral approach, along the incision made between the deltoid and the pectoralis major muscle, which was isolated blunt cephalic vein retractor to protect the inside, cut off part of the deltoid to the lateral retractor, exposing the humerus near side and the joint capsule at the same time check whether the rotating rotator cuff injury. After accurate reduction of fractures, with large towel clamp and temporary Kirschner wire fixation to maintain reduction. Select the appr