Abstract
In this paper, we have aimed to elucidate the therapeutic effect of intramedullary nailing (IMN) in treating comminuted proximal humeral fractures (CPHFs) and its influence on the recovery of shoulder joint function. For this purpose, 60 cases with CPHFs were selected, particularly from January 2020 to October 2021. In these cases, 28 cases were treated with a locking proximal humeral plate (LPHP) and assigned to the control (Con) group and the remaining 32 patients were treated with IMN and included in the research (Res) group. The therapeutic effect, surgical indicators, total complications, visual analogue scale (VAS) score, and postoperative shoulder joint function score were compared between the two arms. We observed that compared with the Con group, the effective rate in the Res group was higher while the operation time, intraoperative blood loss, and fracture healing time were shorter, the overall complication rate and VAS score were lower, and the postoperative shoulder joint function score was higher, all with statistical significance. The above results indicate that IMN is effective and safe in the treatment of CPHFs, which can validly reduce the discomfort of patients and facilitate the recovery of shoulder joint function.
Highlights
Comminuted proximal humeral fracture (CPHF) is a common and serious fracture type, which is susceptible to the elderly with osteoporosis or osteopenia [1, 2]
We have aimed to elucidate the therapeutic effect of intramedullary nailing (IMN) in treating comminuted proximal humeral fractures (CPHFs) and its influence on the recovery of shoulder joint function
28 cases were treated with a locking proximal humeral plate (LPHP) and assigned to the control (Con) group and the remaining 32 patients were treated with IMN and included in the research (Res) group. e therapeutic effect, surgical indicators, total complications, visual analogue scale (VAS) score, and postoperative shoulder joint function score were compared between the two arms
Summary
Comminuted proximal humeral fracture (CPHF) is a common and serious fracture type, which is susceptible to the elderly with osteoporosis or osteopenia [1, 2]. Erefore, if a clinical treatment strategy with low pain and effective repair of shoulder joint function can be found, it will greatly contribute to the treatment of CPHFs. Locking proximal humeral plate (LPHP) fixation is a common internal fixation method for the treatment of CPHFs, which can provide reliable and effective internal fixation for patients with type II, III, and IV fractures [7, 8]. Is treatment can repair the rotator cuff and restore the strength of the deltoid muscle and allow patients to exercise early. It may damage the tissues and blood vessels of patients to different degrees [10, 11].
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