Clinical Observation Of Surgical Treatment For Humerus Surgical Neck Fractures

Objective: To observe the clinical curative effect on treating unstable type humerus surgical neck fractures with Proximal humeral anatomy of locking plates therapy, so we can improve the Cure rate of Humerus surgical neck fractures.Methods: We get 42 patients (17 male and 25 female, the oldest is 91 years and the youngest is 21, with average age 57.2) with unstable type humerus surgical neck fractures. The cases were all got surgical treatments (21 cases are from left side and 21 are from right side) and Postoperative follow-up from the orthopedics department of the affiliated hospital of Shandong traditional medicine university, from October 2007 to October 2010. According to the standard of Neer classification, these cases contain 16 cases for the second type, 20 cases for the third type, 6 cases for the fourth type. Before surgery, we made clinical and imaging evaluation, make sure the surgery opportunity. During the operation, we paid more attention for protecting the Soft tissue and Vessels and nerves. After surgery, we gave the Rehabilitation functional exercises and took necessary measures to prevent the complications. We used Neer Rating criteria shoulder function standard of grading to get the score and observe the Curative rate.Results: 42 cases were followed up, excellent in 27, good in 11, fair in3, and poor in 1, 90.5%excellent or good results were obtained.Conclusion: Treating unstable type humerus surgical neck fractures with Proximal humeral anatomy of locking plate therapy is more effective treatment. During the operation, we should operate carefully. And we should give the patients systematic postoperative function training. Both of them are particularly important for the restoration of joint function. This therapy is worthy of clinical application and further research.