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目的 分析采用TriGen交锁髓内钉联合带线锚钉技术治疗Neer Ⅲ、Ⅳ型肱骨近端内翻型骨折的临床疗效.方法 自2015年6月至2017年6月,我们采用TnGen交锁髓内钉联合带线锚钉技术对23例Neer Ⅲ、Ⅳ型肱骨近端内翻型骨折患者进行治疗,其中Neer Ⅲ型15例,NeerⅣ型8例.术后随访骨折愈合时间,术后1年测量肩关节活动范围,并行美国肩肘外科医师协会(American Shoulder and Elbow Surgeons,ASES)评分、Constant-Murley评分及视觉模拟评分(visual analogue scale,VAS).结果 术后所有患者均获得随访,时间为12～16个月,平均14个月.所有骨折均愈合,愈合时间为24个月,平均3个月,未出现伤口感染、肩袖损伤、腋神经损伤等并发症.术后1年随访ASES评分为(91.00±3.04)分、Constant-Murley评分为(90.00±3.21)分、VAS疼痛评分为(0.42±0.38)分.结论 对于Neer Ⅲ、Ⅳ型复杂肱骨近端内翻型骨折,采用TriGen交锁髓内钉联合带线锚钉技术治疗,增加了对肱骨大小结节固定的强度,符合整体固定理念,利于早期功能康复,术后取得了较好的疗效,是一种可靠的微创治疗方法.“,”Objective To analyze the clinical efficacy of TriGen interlocking intramedullary nail combined with suture anchor in the treatment of Neer type Ⅲ and Ⅳ proximal humeral varus fractures.Methods From June 2015 to June 2017,23 patients with proximal humeral varus fractures of Neer type Ⅲ and Ⅳ were treated with TriGen interlocking intramedullary nail combined with suture anchor technique,including 15 cases of Neer type Ⅲ and 8 cases of Neer type Ⅳ.The fracture healing time was followed up.The range of motion of shoulder joint was measured one year after operation.American Shoulder and Elbow Surgeons (ASES) score,Constant-Murley score and visual analogue scale (VAS) were performed.Results All the patients were follow-up for 12 to 16 months,with an average of 14 months.All fractures healed 2 to 4 months after operation,with an average of 3 months.No complications such as wound infection,rotator cuff injury and axillary nerve injury occurred.The ASES score,Constant-Murley score and VAS were (91.00±3.04),(90.00±3.21) and (0.42±0.38) respectively.Conclusion For Neer type Ⅲ and Ⅳ complex proximal humerus varus fractures,TriGen interlocking intrarnedullary nail combined with suture anchor technique is used to treat it,which increases the strength of fixing the humeral nodules,conforms to the concept of overall fixation,is conducive to early functional rehabilitation,and achieves good results after operation.It is a reliable minimally invasive treatment method.