Raissadat K, Struben P-J, van Loon C J M
Department of Orthopaedic Surgery, Hospital Rijnstate Arnhem, P.O. Box 9555, 6800 TA, Arnhem, The Netherlands.
Arch Orthop Trauma Surg. 2004 Apr;124(3):166-8. doi: 10.1007/s00402-003-0635-4. Epub 2004 Jan 30.
Fractures of the proximal humerus are very common, but controversy still exists about the preferred type of operative treatment in displaced fractures.
We followed 15 patients (12 female and 3 male, average age 70 years) with 15 dislocated type II (9) and III (6) proximal humeral fractures after helix wire osteosynthesis.
A nonunion developed in seven cases (47%). Three patients were reoperated (prosthesis: 2, repair: 1). Seven patients were available for follow-up (average: 14 months). Three patients had a Constant score of 80 or more and four patients had a score under 70 points.
The results of the helix wire osteosynthesis for proximal humeral fractures are poor and we do not recommend its further use.
肱骨近端骨折非常常见，但对于移位骨折的首选手术治疗方式仍存在争议。
我们对15例患者（12例女性，3例男性，平均年龄70岁）进行了随访，这些患者在采用螺旋钢丝骨合成术后发生了15例II型（9例）和III型（6例）肱骨近端脱位骨折。
7例（47%）出现骨不连。3例患者接受了再次手术（2例置换假体，1例修复）。7例患者可供随访（平均14个月）。3例患者的Constant评分在80分及以上，4例患者的评分低于70分。
肱骨近端骨折采用螺旋钢丝骨合成术的效果较差，我们不建议继续使用该方法。
