微创技术结合锁定钢板治疗老年骨质疏松性肱骨干骨折的临床疗效

目的:探讨微创技术结合锁定钢板治疗老年骨质疏松性肱骨干骨折的临床疗效。方法 :2012年7月至2016年12月,采用微创技术结合锁定钢板治疗26例老年骨质疏松性肱骨干骨折患者,男10例,女16例;年龄61～81岁,平均70.3岁;平均骨密度值-2.74。26例骨折均为闭合性骨折,其中A型6例,B型7例,C型13例。所有病例术后随访12个月,统计术前及术后12个月Constant肩关评分和Mayo肘关节评分。结果:26例均获随访,时间12～16个月,平均13.2个月,骨折均在16周内愈合,平均愈合时间14.3周。Constant肩关节评分术前及术后12个月分别为54.61±2.09、88.50±2.47;Mayo肘关节评分术前及术后12个月分别为58.19±2.74、90.30±2.16。结论:微创技术结合锁定钢板治疗老年骨质疏松性肱骨干骨折术后肩、肘关节功能恢复良好,是治疗老年骨质疏松性肱骨干骨折的有效方法。

Clinical effect of minimally invasive technique on the treatment of osteoporotic humeral shaft fractures in elderly patients with locking plates

Objective: To explore the clinical effect of minimally invasive technique combined with locking plates for the treatment of osteoporotic humeral shaft fractures in elderly patients.Methods: From July 2012 to December 2016,26 patients were treated by minimally invasive technique combined with the locking plate for osteoporotic humeral shaft fractures,including 10 males and 16 females,ranging in age from 61 to 81 years old,with an average of 70.3 years old. The T-score of mean bone density was -2.74. All 26 patients had closed fractures,including 6 cases of type A,7 cases of type B and 13 cases of type C. All patients were followed up for 12 months after surgery,and the Constant shoulder joint score and Mayo elbow score were calculated before surgery and 12 months after surgery.Results: All 26 patients were followed up,and the duration ranged from 12 to 16 months,with an average of 13.2 months. All fractures healed within 16 weeks,with an average healing time of 14.3 weeks. The average Constant shoulder joint score before surgery and 12 months after surgery was 54.61±2.09,88.50±2.47. The average score of Mayo elbow joint before surgery and 12 months after surgery was 58.19±2.74,90.30±2.16.Conclusion: The shoulder and elbow joint function of elderly patients with osteoporotic humeral fractrues treated with minimally invasive technology combined with locking plate recovered well postoperatively. It is an effective method for the treatment of osteoporotic humeral shaft fractures in elderly patients.