Smith Matthew, Jacobs Leo, Banks Louisa, Warner James, Sylvester Bernard, Bale Richard
The Royal Oldham Hospital, Oldham, Lancashire, United Kingdom.
Acta Orthop Belg. 2008 Dec;74(6):735-46.
Fractures of the proximal humerus are common. Most can be treated conservatively with good results. However, there is no uniform treatment of displaced fractures. One option was the PlantTan Plate (PTP). We present a study of 65 patients with displaced proximal humeral fractures treated with the PTP. Patients were followed-up for 24 months assessing fracture healing, functional outcome, pain and postoperative complications. The mean patient age was 61 years (range: 17 to 86). Forty-six percent of the patients were aged over 65 years. The Constant-Murley shoulder score (CMS) to assess function and a visual analogue scale (VAS) assessing pain were used. At 24 months, the mean CMS was 76 (range: 34 to 100) for the fractured side and 85 (range: 66 to 100) for the uninjured side, the mean VAS was 22 (range: 0 to 78). We believe that this study shows that operative intervention is a viable option for displaced proximal humeral fractures.
肱骨近端骨折很常见。大多数骨折可以通过保守治疗取得良好效果。然而，对于移位骨折并没有统一的治疗方法。一种选择是普兰坦钢板（PTP）。我们对65例采用PTP治疗的肱骨近端移位骨折患者进行了一项研究。对患者进行了24个月的随访，评估骨折愈合情况、功能结果、疼痛及术后并发症。患者的平均年龄为61岁（范围：17至86岁）。46%的患者年龄超过65岁。使用了用于评估功能的Constant-Murley肩关节评分（CMS）和用于评估疼痛的视觉模拟量表（VAS）。在24个月时，骨折侧的平均CMS为76（范围：34至100），未受伤侧为85（范围：66至100），平均VAS为22（范围：0至78）。我们认为这项研究表明手术干预对于肱骨近端移位骨折是一种可行的选择。
