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目的探讨锁定钢板内定结合人工植骨治疗老年肱骨外科颈骨折的临床疗效.方法以我院2011年1月~12月骨科收治的老年肱骨外科颈骨折患者41例为治疗组,以我院2010年1月-12月收治的老年肱骨外科颈骨折患者40例为对照组,2组患者术中检查没有大的骨缺损,临床判断可以不必植骨.治疗组给予锁定钢板内固定结合人工植骨,对照组给予单独的锁定钢板内固定.结果比较 2组患者的骨折愈合情况,治疗组疗效优秀率高于对照组,经过比较,差异具有统计学意义,P0.05.结论锁定加压钢板固定术结合人工植骨治疗老年肱骨外科颈骨折,创伤小,固定稳定,有效促进骨质疏松骨折断端的愈合,肩关节功能恢复满意.“,”Objective: To investigate the clinical effect of locking plate fixation combined with artificial bone graft for the elderly humerus surgical neck fracture.Method:41 cases of elderly humerus surgical neck fracture were the therapeutic group in the orthopedic department of our hospatal from January to December in 2011.40 cases of elderly humerus surgical neck fracture were the control group from January to December in 2010.Al patients had not large bone defects and didn’t need bone graft.The therapeutic group was gave locking plate fixation combined with artificial bone graft.The control group was gave only locking plate fixation.Results:The state of healing in 2 groups was compared.The rate of excelence in the the therapeutic group was higher than the control group.The difference was statisticaly significant(P0.05).Conclusion:It had smal trauma,stable fixation and effectively promoting the healing of osteoporotic bone fracture that locking plate fixation combined with artificial bone graft treated the elderly humerus surgical neck fracture.The recovery of funtion of shoulder joint was satisfied.