摘要目的 探索关节镜下复位骨折Versoloc锚钉固定治疗老年患者肱骨大结节骨折的疗效。方法 2015年7月至2016年12月我院在肩关节镜下应用Versoloc锚钉固定术治疗老年肱骨大结节移位骨折20例,其中男12例,女8例;年龄60~75岁,平均(65.6±0.8)岁;受伤至手术时间2~8 d,平均(6.0±1.5)d。通过X线评价复位情况,随访指导患者逐渐进行主动及力量锻炼。采用美国肩肘外科医师协会(American shoulder and elbow surgeons,ASES)评分和加州大学肩关节功能评分(the university of California at Los Angeles shoulder rating scale,UCLA)评估手术前后肩关节功能,UCLA评分评价临床疗效。结果 19倒患者获得随访,1例失访,随访时间9~20个月,平均(12.5±2.2)个月。随访患者术后骨折均获得解剖复位,ASES评分由术前(59.5±2.0)分增加至(91.5±2.9)分(P<0.01),UCLA评分由术前(18.2±1.9)分增加至(29.8±2.7)分(P<0.05)。按UCLA评分进行疗效评价,优13例,良6例。结论 应用Versoloc锚钉辅助肩关节镜治疗老年患者肱骨大结节骨折复位固定良好,患者肩关节功能恢复满意。
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