Analysis of the Influencing Factors of Shoulder Joint Function Recovery in Patients with Proximal Humeral Fractures Treated with Anatomical Locking Plate Based on Logistic Regression Model
Objective Analysis of the influencing factors of shoulder joint function recovery in patients with proximal humeral fracture(PHF)treated with anatomical locking plate(ALP).Methods A retrospective analysis of clinical data of 80 PHF patients admitted to Shuyang County Trodditional Chinese Medicine Hospital from June 2021 to June 2023,according to the postoperative recovery of shoulder joint function,patients were divided into a good recovery group(n=65)and a poor recovery group(n=15).Collect various data from two groups of patients and select Logistic regression model to analyze the influencing factors of postoperative shoulder joint function recovery in PHF patients.Results Logistic regression analysis showed that abnormal bone density,prolonged first functional exercise time after surgery,large humeral neck shaft angle,large inversion angle,and long distance between the greater tuberosity of the humerus and the apex of the steel plate were all risk factors affecting poor shoulder joint function recovery in PHF patients after surgery(OR﹥1,P﹤0.05).Conclusion The overall recovery of shoulder joint function in PHF patients treated with ALP is good after surgery,but abnormal bone density,prolonged first functional exercise time after surgery,large humeral neck shaft angle,large inversion angle,and long distance between the greater tuberosity of the humerus and the apex of the steel plate all increase the risk of poor shoulder joint function recovery in PHF patients after surgery,early prevention and intervention are needed in clinical practice.