目的评价切开复位内固定加植骨治疗肱骨外科颈Ⅱ、Ⅲ型骨折的疗效。方法采用肱骨近段锁定板结合植骨治疗肱骨外科颈骨折21例,根据Neer分型,Ⅱ型5例,Ⅲ型16例;其中二部分骨折5例,三部分骨折10例,四部分骨折6例。结果所有病例均随访6个月以上,骨折全部愈合,肩关节功能恢复满意,优良率85.7%。结论肱骨近段锁定板结合植骨有利于骨折断端愈合、肩关节功能的恢复,是治疗肱骨外科颈Ⅱ、Ⅲ型骨折的有效方法。

Objective To evaluate the clinical results of open reduction and internal fixation combining bone graft in the treatment of humerus surgical neck fracture(NeerⅡ,Ⅲ).Methods Twenty-one cases of humerus surgical neck fractures(Neer Ⅱ: 5 cases;Neer Ⅲ: 16 cases) were treated by locking proximal humerus plate combining bone grafting.Results All patients were followed for more than 6 months on average,all of the fractures were healed and got satisfactory results of shoulder functional recovery.The results were excellent and good in 18 cases,the good rate was 85.7%.Conclusion Locking proximal humerus plate fracture fragments combining bone graft is conductive to the fracture healing and shoulder functional recovery.It is an effective method in the treatment of humerus surgical neck fracture(Near Ⅱ,Ⅲ).