• 1 綿陽市骨科醫(yī)院（四川綿陽，621000）;2 四川大學華西醫(yī)院骨科;

【摘要】　目的　 探討切開復位肱骨近端內(nèi)固定鎖定系統(tǒng)(proximal humeral internal locking system，PHILOS)治療老年肱骨近端骨折的療效。　方法　 2008年5月-2009年5月，對22例60歲以上肱骨近端新鮮移位骨折按Neer分型，二部分2例，三部分16例，四部分4例；采用肩前方入路切開復位PHILOS治療。　結(jié)果　 22例患者獲12～18個月隨訪，平均14.6個月，采用Constant-Murley評分，優(yōu)8例，良10例，可3例，差1例，優(yōu)良率81.4%。　結(jié)論　 切開復位PHILOS治療老年肱骨近端骨折療效肯定。
【Abstract】　Objective　 To discuss the clinical effect of open reduction and internal fixation with the proximal humeral internal locking system (PHILOS) plate in treating elder patients with proximal humeral fracture.　Methods　 From May 2008 to May 2009, we classified 22 cases of fresh displaced proximal humeral fracture according to the Neer classification. All patients were older than 60 years. There were two cases of two-part fracture, 16 cases of three-part fracture and four cases of four-part fracture. The open reduction and internal fixation with PHILOS plate was performed with the anterior deltopectoral approach.　Results　 The 22 patients were followed up for 12 to 18 months with a mean period of 14.6 months. According to Constant-Murley Shoulder Score measurement, eight cases were graded as excellent, 10 good, three fair, and one poor with a excellent and good rate of 81.4%.　Conclusion　 The open reduction and internal fixation with Philos plate is effective in treating elder patients with proximal humeral fracture.

引用本文： 朱紅,黃富國,陳玉龍,唐付林,蒲超. 切開復位肱骨近端內(nèi)固定鎖定系統(tǒng)治療老年肱骨近端骨折. 華西醫(yī)學, 2011, 26(3): 362-364. doi: 復制

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7. 　陳云蘇, 楊軼, 蔣淳. 肱骨近端鎖定鋼板與傳統(tǒng)AO鋼板治療老年肱骨近端骨折的比較[J]. 中華創(chuàng)傷骨科雜志, 2006, 8(11): 1012.
8. 　Aklin YP, Jenni R, Walliser M, et al. Minimal invasive PHILOS?-plate osteosynthesis in proximal humeral fractures[J]. Eur J Trauma Emerg Surg, 2008, 35(1): 35-39.
9. 　周來喜, 許世存, 鄭延中, 等. 人工肱骨頭置換及鎖定接骨板治療老年肱骨頭粉碎性骨的對比研究[J]. 中國骨與關(guān)節(jié)損傷雜志, 2005, 20(12): 492-493.
  1. 1. 　Kristiansen B, Barfod G, Bredesen J, et al. Epidemiology of proximal humerus factures[J]. Acta Orthop Scand, 1987, 58: 75-77.
  2. 2. 　Neer CS 2nd. Displaced proximal humeral fractures. I. Classification and evaluation[J]. J Bone Jiont Surg Am, 1970, 52(6): 1077-1089.
  3. 3. 　張世民, 李海豐, 黃軼剛. 骨折分類與功能評定[M]. 北京: 人民軍醫(yī)出版社, 2008: 301-302.
  4. 4. 　孫遼軍, 陳華, 郭曉山. 微創(chuàng)鋼板固定治療老年骨質(zhì)疏松性肱骨近端骨折[J]. 中華手外科雜志, 2009, 25(1): 30-31.
  5. 5. 　姜保國. 關(guān)節(jié)周圍骨折的治療[J]. 中華創(chuàng)傷骨科雜志, 2009, 18(5): 401-402.
  6. 6. 　陳爍, 張勇, 李軍, 等. 鎖定接骨板治療老年肱骨近端復雜骨折[J]. 中國骨與關(guān)節(jié)損傷雜志, 2010, 25(2): 149.
  7. 7. 　陳云蘇, 楊軼, 蔣淳. 肱骨近端鎖定鋼板與傳統(tǒng)AO鋼板治療老年肱骨近端骨折的比較[J]. 中華創(chuàng)傷骨科雜志, 2006, 8(11): 1012.
  8. 8. 　Aklin YP, Jenni R, Walliser M, et al. Minimal invasive PHILOS?-plate osteosynthesis in proximal humeral fractures[J]. Eur J Trauma Emerg Surg, 2008, 35(1): 35-39.
  9. 9. 　周來喜, 許世存, 鄭延中, 等. 人工肱骨頭置換及鎖定接骨板治療老年肱骨頭粉碎性骨的對比研究[J]. 中國骨與關(guān)節(jié)損傷雜志, 2005, 20(12): 492-493.