Laflamme George Yves, Rouleau Dominique M, Berry Gregory K, Beaumont Pierre H, Reindl Rudolf, Harvey Edward J
University of Montreal, Sacre-Coeur Hospital, Montréal, Québec, Canada.
J Orthop Trauma. 2008 Mar;22(3):153-8. doi: 10.1097/BOT.0b013e3181694f7d.
To evaluate the safety and functional outcome of a recently described surgical technique of percutaneous plating for proximal humerus fractures.
Prospective clinical trial.
: Two urban Level 1 university trauma centers.
From February 2002 to December 2003, 34 consecutive patients underwent surgery by 5 trauma surgeons from 2 teaching hospitals. Twenty-seven patients had 1-year follow-up.
The technique involved 2 minimal incisions with a lateral deltoid split and a more distal shaft incision. A proximal humerus-specific locking plate was implemented.
DASH (disabilities of the arm, shoulder, and hand) and Constant-Murley evaluation scores were used for functional evaluation. The presence of complications was noted.
Specifically, there were no axillary nerve injury injuries and no loss of reduction. The average Constant score at 1 year was 82 and the DASH score was 26.
This study demonstrated that the functional outcome results correspond to a normal age-adjusted score signifying an acceptable result.
评估一种最近描述的用于肱骨近端骨折的经皮钢板固定手术技术的安全性和功能结果。
前瞻性临床试验。
两家城市一级大学创伤中心。
2002年2月至2003年12月，来自2家教学医院的5名创伤外科医生连续为34例患者实施手术。27例患者获得1年随访。
该技术包括两个小切口，一个为外侧三角肌劈开切口，另一个为更远端的骨干切口。采用肱骨近端专用锁定钢板。
采用上肢、肩部和手部功能障碍（DASH）评分及Constant-Murley评估评分进行功能评估。记录并发症的发生情况。
具体而言，未发生腋神经损伤，骨折未发生移位丢失。1年时的平均Constant评分为82分，DASH评分为26分。
本研究表明，功能结果与年龄调整后的正常评分相符，表明结果可接受。
