Multiloc髓内钉与锁定钢板治疗老年肱骨外科颈骨折的临床研究

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Abstract Objective To explore the clinic effect of Multiloc PHN and PHILOS for the Neer Ⅱ humerus surgical neck fracture in the elderly retrospectively.Methods Thirty patients with NeerⅡhumerus surgical neck in the elderly from June 2016 to June 2018 were reviewed.There were 5 males and 25 females，aged 54~88 years，with an average age of (72.3±12.7) years.Ten patients were treated with Multiloc PHN，Twenty patients were treated with PHILOS.The operation time，incision length，intraoperative bleeding volume，visual analogue scale (VAS) and Constant-Murley shoulder function score were compared between the two groups.Results There was no significant ifference in the operation time，The follow-up time of Multiloc PHN was 0.9~1.8 years，with an average of 1.3 years，while that of PHILOS group was 1.1~2.1 years，with an average of 1.5 years.the length of the incision，perioperative blood loss，the VAS，the Constant score in the two groups (P＞0.05).Compared with PHILOS，The neck stem angle on the first day after operation of the Multiloc PHN was larger，and the difference was statistically significant (P＜0.05).Conclusion Multiloc PHN and PHILOS can get the same clinic outcomes for treatment of the NeerⅡ humerus surgical neck，Multiloc PHN can stabilize the proximal end of the humerus with multiple screws in multiple dimensions and directions，and control the rotation of fracture ends more effectively.Patients can make the function exercise early after operation，and the joint function can recover well.

Key words： humerus surgical neck fracture multiloc intramedullary nail locking plate internal fixation

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I4/297

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