Early efficacy of modified anterior inferior acromion double incision plate internal fixation in the treatment of abduction-impinged proximal humeral fractures
改良肩峰前下双切口钢板内固定治疗外展嵌插型肱骨近端骨折的早期疗效

摘要

目的 分析外展嵌插型肱骨近端骨折患者临床采用改良肩峰前下双切口钢板内固定治疗的临床效果。方法 取2021年1月到2024年1月我院收治的外展嵌插型肱骨近端骨折患者100例作为研究对象，患者均于我院接受治疗，其中50例接受传统单钢板内固定方法治疗（参照组），另外50例接受改良肩峰前下双切口钢板内固定术治疗（研究组），统计治疗有效率、手术相关指标、并发症发生率、术后生活质量评分，将两组数据统计并组间对比，观察临床差异性，结果作为研究参考依据，以此体现治疗效果。结果 治疗有效率对比研究组高于参照组（P＜0.05）；两组术中出血量、手术时间、骨折愈合时间、住院时间各项手术相关指标对比研究组低于参照组（P＜0.05）；患者并发症发生率对比研究组低于参照组（P＜0.05）；患者术后日常活动能力、行动能力、心理功能、生理功能、自我管理能力各项生活质量评分对比研究组高于参照组（P＜0.05）。结论 外展嵌插型肱骨近端骨折患者临床采用改良肩峰前下双切口钢板内固定治疗可提升临床治疗有效率，减少术中出血量，缩短患者康复时间，并且可以降低并发症发生率，增强治疗安全性，提升患者生活质量，治疗效果理想，得到患者满意，值得临床推广及使用。

Abstract

Objective To analyze the clinical effect of improved anterior and inferior acromial double incision plate internal fixation in patients with abducent and impingement proximal humerus fracture.
Methods A total of 100 patients with proximal humerus fractures of external insertion type admitted to our hospital from January 2021 to January 2024 were selected as the study subjects. All patients received treatment in our hospital, including 50 patients who received traditional single plate internal fixation (reference group) and 50 patients who received improved anterior and inferior acromial double-incision plate internal fixation (study group). The effective rate of treatment, surgery-related indicators, complication rate and postoperative quality of life score were counted. The data of the two groups were statistically analyzed and compared between the groups to observe the clinical differences, and the results were used as research reference to reflect the therapeutic effect.
Results The effective rate of the study group was higher than that of the reference group (P < 0.05). Intraoperative blood loss, operation time, fracture healing time and hospital stay of the two groups were lower in the study group than in the reference group (P < 0.05). The incidence of complications in the comparison group was lower than that in the reference group (P < 0.05). The life quality scores of daily activity ability, mobility ability, mental function, physiological function and self-management ability were higher in the study group than in the reference group (P < 0.05).
Conclusion   The modified anterior and inferior acromial double incision plate internal fixation in the clinical treatment of abducent-inserted proximal humerus fracture can improve the clinical treatment efficiency, reduce intraoperative blood loss, shorten the recovery time of patients, reduce the incidence of complications, enhance treatment safety, and improve the quality of life of patients. The therapeutic effect is ideal and the patients are satisfied, which is worthy of clinical promotion and use.