目的肱骨近端锁定钢板在肱骨近端骨折中与T型钢板临床疗效分析。方法收治2012年~2013年我院肱骨近端骨折患者47例，根据内置钢板类型将其分为两组，比较两组病例的平均手术时间及平均骨折愈合时间，两组患者术后并发症，以观察比较两种内固定物的临床治疗效果。结果47例手术患者均获得12~22个月的随访，平均16.5个月，Neer功能评分锁定钢板组：优18例，良4例，可1例，差1例，全组优良率91.6%；传统钢板治疗组优12例，良6例，可2例，差3例，优良率78.2%。两组比较差异有统计学意义(<0.05)。结论肱骨近端锁定钢板在临床应用中相较于传统T型钢板，具有操作简单，固定可靠，骨愈合率高，并发症少等优点。“,”Objective To compare the locking plate and T-plate in the treatment of proximal humeral fractures in the clinical ef icacy. Methods The clinical data of 47 patients with proximal humeral fractures from January 2012 to January 2013 were analyzed retrospectively. Then divided into two groups according to internal fixation, compared two groups were the average operation time, the average fracture healing time, postoperative complications, to observe and compare the two kinds of internal fixation of clinical treatment. Results 45 cases were fol owed up for 12~22 months, average 16.5 months. According to Neer shoulder score, the result in the locking plate group was excel ent 18 cases, good in 4, fair in 1 and bad in 7, with excel ent and good rate of 91.6%.On the other hand, the result in T shaped plate group was excel ent 12 cases, good in 6 , fair in 2 and bad in 3, with excel ent and good rate of 78.2% ( <0.05). Conclusion Comparison with traditional T shaped plate, locking plate of proximal humerus has such advantages as simple and stable fixation,high bone union rate,few complications and early functional rehabilitation in treatment of proximal humeral fractures.