Clinical efficacy and feasibility of locking plate and intramedullary nail internal fixation with early rehabilitation in elderly patients with proximal humeral fractures
Objective To compare the clinical efficacy and feasibility of locking plate and intramedullary nail internal fixation with early rehabilitation in elderly patients with proximal humeral fractures.Methods We retrospectively analyzed the clinical data of elderly patients with proximal humeral fractures,including 25 and 20 persons receiving locking plate and intramedullary nail internal fixation(groups A and B),respectively.We compared the operation situation,length of hospital stay,fracture healing time,postoperative complica-tion incidence,postoperative serum inflammatory cytokine levels,postoperative pain score,shoulder joint function score,and quality of life score between the two groups.All patients received early rehabilitation after surgery.Results The operation time,length of hospital stay,fracture healing time,and intraoperative blood loss in group B were significantly shorter than those in group A(P<0.05).The C-reactive protein and procalcitonin levels on postoperative days 1 to 3 in group B were significantly lower than those in group A(P<0.05).The pain score 12 to 48 hours after the operation in group B was significantly lower than that in group A(P<0.05).The shoulder joint function and quality of life scores after the operation were significantly higher than those before the operation in both groups(P<0.05).Conclusion Locking plate and intramedullary nail internal fixation with early rehabilitation could effectively improve shoulder joint function in elderly patients with proximal humeral fractures.
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