Helmy Naeder, Hintermann Beat
Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Switzerland.
Clin Orthop Relat Res. 2006 Jan;442:100-8. doi: 10.1097/01.blo.0000194674.56764.c0.
For complex proximal humeral fractures, most authors agree on the importance of anatomic reduction and stable fixation to allow early range of motion. Currently a variety of techniques are used such as K-wires, t-plates, and primary prosthesis among others. However, no current treatment guidelines have been established. Newer implants provide greater angular stability, better biomechanical properties, and enhanced anchorage in these complex injuries. These implants therefore have a potential for achieving better results in treating complex fractures. We discuss current treatment concepts and focus on biomechanics and early results of new implants designed to provide angular stability.
Expert Opinion, Level V. See the Guidelines for Authors for a complete description of levels of evidence.
对于复杂的肱骨近端骨折，大多数作者都认同解剖复位和稳定固定以允许早期活动范围的重要性。目前使用了多种技术，如克氏针、T形钢板和一期假体等。然而，目前尚未制定治疗指南。新型植入物在这些复杂损伤中提供了更大的角度稳定性、更好的生物力学性能和更强的锚固力。因此，这些植入物在治疗复杂骨折方面有取得更好效果的潜力。我们讨论当前的治疗理念，并重点关注旨在提供角度稳定性的新型植入物的生物力学和早期结果。
专家意见，V级。有关证据水平的完整描述，请参阅作者指南。
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