Curative effect of traditional Chinese medicine bone-setting manipulation combined with locking plate minimally inva-sive treatment of neer2and 3fractures of proximal humerus in the elderly
Objective:To explore the curative effect of traditional Chinese medicine closed reduction combined with locking plate percutaneous minimally invasive treatment of Neer2and 3fractures of proximal humerus in the elderly.Methods:From August 2022to June 2023,60elderly patients with Neer2and 3partial fractures of proximal humerus were selected for follow-up.Divided into two groups according to random number table method.The observation group was treated by bone-setting manipulation combined with loc-king plate percutaneous minimally invasive surgery(through the anterolateral deltoid small incision approach).The control group was treated with traditional open reduction and internal fixation(via deltoid-pectoralis major approach).There were 30cases in each group,aged from 70to 93(82.3±5.75)years,including 13males and 47females.After 12to 20months of follow-up,the average was 16.03months.The clinical data,postoperative complications and shoulder joint function scores of the two groups were compared and analyzed,and the shoulder joint function was evaluated according to the Constant-Murley scoring system.Results:Patients in both groups were followed up.There was no significant difference in the number of fluoroscopy between the two groups(P＞0.05).Howev-er,there were significant differences in incision length,intraoperative blood loss,operation time,postoperative hospital stay,fracture healing time,postoperative complications,visual analogue scale(VAS)on the 1st and 7th day after operation and Constant-Murley function score of shoulder joint at the 1st and 3rd month after operation(P＜0.05).That is,the observation group has small incision,less intraoperative bleeding,quick pain relief,short operation time and postoperative hospitalization,less postoperative complications and good shoulder function.Conclusion:Traditional Chinese medicine bone-setting manipulation combined with percutaneous locking plate minimally invasive treatment of Neer2and 3fractures of proximal humerus in the elderly has the advantages of small surgical inci-sion,less bleeding,less postoperative complications,short operation time and postoperative hospitalization,and early rehabilitation exercise,which is worthy of clinical promotion.
Proximal humeral fracture in the elderlyBonesetting manipulationLocking PlateMinimally invasive surgery
万方数据
维普
