Clinical study of multi-dimensional intramedullary nail in treatment of proximal humeral fracture in middle-aged and elderly people
多维髓内钉治疗中老年肱骨近端骨折临床研究

摘要

目的 对中老年肱骨近端骨折患者实施治疗时，选择多维髓内钉为患者实施治疗，探讨这类治疗方式的临床疗效。方法 在2020年5月至2022年5月期间选取研究对象，研究对象的总人数为60例，并且均被确诊为肱骨近端骨折中老年患者，将患者按照均分为2组，并且实施不同的治疗方式，探讨分析与和切开复位钢板内固定治疗法的临床效果相比研究组患者接受多维髓内钉治疗的疗效优势。结果 （1）在手术指标方面，除愈合时间、住院时间，多维髓内钉治疗的其他各项指标更加优异，差异显著（p＜0.05）；（2）Constant评分方面，治疗前两组患者的评分差异不显著（p＞0.05），在治疗后研究组患者评分更加优异，差异显著（p＜0.05）；（3）在肩关节活动度方面，除Δ 颈干角，两组患者的其他相关指标差异均不显著（p＞0.05）。结论 被确诊为肱骨近端骨折的中老年患者接受多维髓内钉治疗可以取得更加优异的治疗效果。

Abstract

Objective: explore the clinical efficacy of multi-dimensional intramedullary nail in the treatment of middle-aged and elderly patients with proximal humeral fracture.
Methods: A total of 60 middle-aged and elderly patients diagnosed with proximal humeral fractures were selected from May 2020 to May 2022. The patients were divided into 2 groups according to the average, and different treatment methods were implemented. To explore and analyze the clinical effect of multi-dimensional intramedullary nail treatment in the study group compared with open reduction and plate internal fixation.
Results: (1) In terms of surgical indexes, except healing time and hospital stay, the other indexes of multi-dimensional intramedullary nail treatment were more excellent, and the difference was significant (p < 0.05); (2) In terms of Constant score, there was no significant difference between the two groups before treatment (p > 0.05), but the score of the study group was more excellent after treatment, and the difference was significant (p < 0.05). (3) In terms of shoulder joint ROM, there were no significant differences in other related indexes between the two groups except δcervical shaft Angle (p > 0.05).
Conclusion  : Multi-dimensional intramedullary nailing can achieve better outcomes in middle-aged and elderly patients with confirmed proximal humeral fractures.