Analysis on the Efficacy of the Treatment with Locking Proximal Humeral Plate for Proximal Humeral Comminuted Fracture

Objective: To investigate the clinical curative effect of locking proximal humeral plates on proximal humeral comminuted fracture.Methods: 82 cases with proximal humeral comminuted fractures were randomly divided into two groups.The treatment group(n = 41) was treated with locking proximal humeral locking plate,while the control group(n = 41) was treated with clover leaf plate.Both were followed up for 6 to 36 months,average(18.6±2.3) months,observing fracture healing after treatment and shoulder function recovery,recording the healing time,shoulder mobility.The efficacy were evaluated by Neer standard,and the complications and security were observed as well.Results: After the treatment,satisfaction rate of the treatment group was 87.81% and that of the control group was 70.73%.Comparing the satisfaction rates of two groups,the difference was statistically significant(X2 = 3.976,P 0.05).Comparing outreach and spin activity of two groups after treatment,difference was statistically significant(P 0.05).Comparing the incidence of complications of two groups,the difference was also significant(X2 = 4.895,P 0.05).Conclusion: Locking proximal humeral plate in treating proximal humeral comminuted fracture has good safety and assured curative effects.