Ring D, McKee M D, Perey B H, Jupiter J B
Hand Surgery Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston 02114, USA.
J Shoulder Elbow Surg. 2001 Nov-Dec;10(6):501-7. doi: 10.1067/mse.2001.118414.
Stable internal fixation is essential to obtain healing of an ununited fracture of the proximal humerus. Standard plate and screw fixation may be inadequate to secure a small, osteopenic proximal fragment. We used blade plates and autogenous cancellous bone graft to repair ununited fractures of the proximal humerus in 25 patients (19 women and 6 men) with a mean age of 61 years. Healing was documented in 23 of 25 patients (92%). Objective and subjective instruments documented substantial functional improvement in patients with healed fractures. The results were classified as good or excellent in 20 of 25 patients, and few complications were encountered. Blade plate fixation facilitates successful treatment of ununited fractures of the proximal humerus.
稳定的内固定对于实现肱骨近端骨折不愈合的愈合至关重要。标准的钢板螺钉固定可能不足以固定一个小的、骨质疏松的近端骨折块。我们使用接骨板和自体松质骨移植修复了25例（19名女性和6名男性）平均年龄为61岁的肱骨近端骨折不愈合患者。25例患者中有23例（92%）记录到骨折愈合。客观和主观指标均显示骨折愈合患者的功能有显著改善。25例患者中有20例结果评定为良好或优秀，且几乎未出现并发症。接骨板固定有助于成功治疗肱骨近端骨折不愈合。
