Four methods for treatment of proximal humerus fractures.docVIP

 PAGE \* MERGEFORMAT 12 Four methods for treatment of proximal humerus fractures Abstract The author compares the methods of external fixation splints plus small reduction, manual reduction plus cross Kirschner wire fixation, open reduction and Kirschner wire fixation, open reduction and plate fixation for four kinds of screw method of treatment of proximal humerus fracture Among them, the way plus the best cross-pinning effect. 【Key Words】 fractures; bone-setting practices; small splint fixation; fracture fixation As social aging population, the incidence of proximal humeral fractures increased year by year, accounting for 5% of body fractures, of which the most common surgical neck fractures of the humerus. Fractures caused by many factors, anatomical factors, proximal humerus fractures, and age factors, the most important. The exact treatment of how to effectively become the key to treating disease. To explore the effective treatment of proximal humeral fractures way, our hospital from 2000 to 2005 will be treated in 424 cases of proximal humeral fractures were randomly divided into four groups, parallel-controlled methods of clinical observations, to evaluate several commonly used before kinds of treatment efficacy. Summary report now the results are as follows: A clinical data 1.1 General information on 424 cases of medical records of 257 cases of male and female 167 cases. Age 12 to 82 years, with an average age of 46.7 years. Fracture of the left side of 150 cases, 274 cases of fracture of the right side. All the patients were randomly divided into four groups, each 106 cases. A group were treated with manipulative reduction and external fixation plus small splints; B group were treated with manual reduction plus cross Kirschner wire fixation; C group were treated with open reduction and Kirschner wire fixation; D group were treated with incision steel screw fixation. After statistical analysis, the groups in age, gender,