Objective To investigate the efficacy of locking plate for treatment of proximal humeral fracture in mid-dle-aged and elderly patients.Methods The locking plate was used to treat 46 middle-aged and elderly patients with proximal humeral fractures.Fracture reduction,fracture healing time,shoulder range of motion were recorded.Shoulder function was evaluated using the Neer scores.Results All patients were followed up for 6～12 months.Postoperative X-rays film showed 43 cases of anatomic reduction and 3 cases of functional reduction.All 43 fractures healed normal-ly,and the time was 3～6 months.Three cases had delayed healing due to without anatomical reduction during opera-tion,and the fracture healing time was 6～12 months.At the last follow-up,the range of motion of the shoulder joint:anterior flexion was 70°～85°,posterior extension was 35°～40°,internal rotation 70°～85°,external rotation 40°～50°;Neer score was used to evaluate shoulder joint function:31 cases were excellent,9 cases were good,3 cases were good,3 cases were poor,and the excellent-good rate was 86.96%.Conclusions The use of locking plate to treat proximal humeral fracture in middle-aged and elderly patients is simple to operate,reliable fixation,and patients can do early functional exercise,which is conducive to restore shoulder joint function.
proximal humeral fracturelocking platethe middle-aged and elderly
维普
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