Rader C P, Keller H W, Rehm K E
Unfall-, Hand- und Wiederherstellungschirurgie, Universität Köln.
Unfallchirurg. 1992 Dec;95(12):613-7.
Twenty-eight three- and four-segment fractures of the proximal humerus were treated by plate fixation (n = 22), screw or Kirschner wire stabilization (n = 5), and primary endoprothesis (n = 1). There were no early postoperative complications. Fourteen months after the operation, 80% of the patients examined showed good results; 4 cases had poor results. In comparison to other reports our results are positive and support plate fixation as the method of choice in these situations.
28例肱骨近端三部分和四部分骨折采用钢板固定治疗（n = 22）、螺钉或克氏针固定（n = 5）以及一期人工关节置换（n = 1）。术后早期无并发症。术后14个月，80%接受检查的患者效果良好；4例效果不佳。与其他报告相比，我们的结果是积极的，并支持在这些情况下将钢板固定作为首选方法。
