Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 270-273 DOI: 10.16260/j.cnki.1009-2188.2018.04.008 |
| Clinical Research |
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| The Effect of Minimally Invasive Locking Compression Plate Fixation for Elderly Patients with Proximal Humeral Fractures and Its Effect on the Shoulder Function#br# |
| ZHANG Jierong#br#
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Department of Orthopaedics, Sanya Hospital of Traditional Chinese Medicine, Sanya 572000, Hainan, China
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Abstract Abstract:ObjectiveTo investigate the clinical effects of minimally invasive locking compression plate fixation in elderly patients with proximal humeral fractures and its effects on shoulder functions.Methods90 elderly patients with proximal humeral fractures from November 2015 to October 2016 in our hospital were selected as study subjects and were divided into the control group and the observation group according to the random number table, with 45 cases in each. Two groups of patients were performed a closed reduction on the lateral shoulder, while the control group was treated with minimally invasive locking plate for internal fixation on the basis of reduction, and the observation group was treated with minimally invasive locking compression plate. The surgeryrelated indicators and healing data of the two groups were recorded. After 3 months' fixation, the excellent and good rate of Neer score between the two groups were compared. The incidence of adverse events in the two groups was compared as well.ResultsAccording to Neer Score, the excellent rate in the observation group was 95.56%, which was significantly higher than that of the control group (82.22%, P<0.05). There was no significant difference in intraoperative blood loss, operative time and postoperative drainage volume between the two groups (P>0.05). The fracture healing time, weightbearing time and hospitalization time in the observation group were significantly shorter than that of the control group (all P<0.05).After surgery, the incidence of adverse events in the control group was 13.33%, which was significantly higher than 2.22%
in the observation group (P<0.05). ConclusionThe treatment of proximal humerus fractures in the elderly with minimally invasive locking compression plate fixation provides good clinical results, which can effectively improve the patient's shoulder function, shorten the length of hospital stay, and promote the early recovery of patients.
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Published: 23 October 2018
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