The comparison of the effect of open reduction and internal fixation in the treatment of fractures of the proxi-mal humerus manipulative reduction and splint external fixation

Abstract

Objective To compare the clinical efficacy of manipulative reduction and splint external fixation and open reduction and internal fixation in the treatment of fractures of the proximal humerus .Methods 62 patients with proximal humeral fractures were randomly divided into the two groups .31 cases in the manipulation group re-ceived manual reduction and splint external fixation;31 patients in the open reduction and internal fixation group were treated by open reduction and internal fixation .The clinical efficacy was compared between the two groups .Results The average healing time of the manual reduction group was （98.34 ±0.42） d,which was shorter than （121.53 ± 0.45）d of open reduction and internal fixation group （t=209.76,P〈0.05）.The incidence rate of pain in the manu-al reduction group was 22.58%,which was lower than 48.39% in the open reduction and internal fixation group （χ2 =4.51,P〈0.05）.The excellent and good rate of the manual reduction group was 96.77%,which was higher than 80.65%of the open reduction and internal fixation group （χ2 =4.03,P〈0.05）.Conclusion The clinical curative effect of manual reduction and splint external fixation in the treatment of proximal humerus fractures is better than open reduction and internal fixation ,it is a reliable choice for treatment of fractures of the proximal humerus . Key words: Manual reduction deck fixed; Open reduction and internal fixation; Proximal humerus fractures