关键词: 肱骨近端锁定钢板, 肱骨近端骨折, 内固定, Locking proximal hunerus plate

Abstract: Locking plate for the treatment of proximal humeral comminuted fracture in the elderly Tan Jiaqun,Li Jianchi, Xie Weijian, et al. Department of Orthopedics, The Guizhou Hospital of Shunde District, Foshan, Guangdong,528305 [Abstract] Objective To investigate the clinical efficacy on the use of locking plate for treating osteoporostic proximal humeral comminuted fracture in the elderly. Methods From January 2007 to January 2009, 26 cases with proximal humeral comminuted fracture received treatment of compressive locking plate internal fixation were analyzed retrospectively. According Neer typing, the fracture of part 3 and part 4 were in 19 and 7 cases respectively. All cases were fresh fracture. Results No wound infection and hydrosy and loose ness of fixation plate were found after operation. 24 cases were followed-up for 9-24 months after operation. The union was good in all cases. No humeral ischemic necrosis head was found. According Neer functional score, the excellent and good rate were in 83.33%. Conclusion Locking compressive plate possesses reliable fixation and satisfactory therapeutic efficacy for the treatment of proximal humeral comminuted fracture in the elderly.