肱骨近端骨折的手术治疗策略.doc

肱骨近端骨折的手术治疗策略 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1：肱骨近端骨折的手术治疗策略 1 1 资料与方法 3 1．2 治疗方法 3 2 结果 5 3 讨论 5 4 小结 9 文2：股骨粗隆间骨折的手术治疗策略 9 1 资料与方法 9 参考文摘引言： 14 原创性声明（模板） 15 文章致谢（模板） 16 正文 肱骨近端骨折的手术治疗策略 文1：肱骨近端骨折的手术治疗策略 Strategy in Surgical Treatment for Proximal Humeral Fracture Li Zhengjiang， Shui Wei， Ge Jianhua， Ma Xiaohong， Lu Xiaobo， Zhuo Naiqiang， the Affiliated Hospital to Luzhou Medical College， Luzhou， Sichuan Province 646000 Abstract Objective To discuss the best surgical treatment for proximal displaced humeral fractures of different Neer classification was made to 174 cases with proximal displaced humeral fracture; 122 cases with two-part fracture and 8 cases with three-part fracture received internal fixation with clover steel plate; 30 cases with three-part fracture and 3 cases with four-part fracture received internal fixation with locking proximal humeral plate (LPHP); 5 cases with three-part fracture and 6cases with four-part fracture received humeral head replacement (HHR).Results All the internal-fixed fractures healed without malformation， the healing time lasted from 8 to 12 weeks with the average of 10 weeks; in those patients having had HHR， no loosening and dislocation of the prosthesis occurred; no such complicatio as infection， nerve or blood vessel damages were found in all the 174 cases. Conclusio Surgical treatment for proximal humeral fracture is of satisfactory effect; internal fixation with steel plate may be performed to two-part fractures， most of the three-part fractures and some four-part fractures according to Neer classification， while some two-part fractures and most of the four-part fractures can be fit treated with humeral head based on the inpidual situation。 Keywords proximal humeral fracture　　　　internal fixation of fracture　　　　locking proximal humeral steel plate　　　　clover steel plate　　　　humeral head replacement 肱骨近端骨折是一种常见的骨折类型，占全身所有骨折的4％～5％ ，占肱骨骨折的50％。根据Neer分类法，将肱骨近端骨折分为1～4部分骨折，临床