肱骨近端骨折的近端肱骨钉治疗。
Treatment of proximal humeral fracture with a proximal humeral nail.
机构信息
Shoulder Service, Beijing Ji Shui Tan Hospital, School of Medicine, Peking University, Beijing, People's Republic of China.
出版信息
J Shoulder Elbow Surg. 2010 Mar;19(2):297-302. doi: 10.1016/j.jse.2009.05.013. Epub 2009 Aug 6.
BACKGROUND
Various treatment options are available for displaced proximal humeral fractures. This study monitored a series of patients treated with a locking proximal humeral nail (PHN).
HYPOTHESIS
Fixation with a PHN can be an effective method when treating patients with two part surgical neck fractures of proximal humerus.
MATERIALS AND METHODS
PHNs were used to surgically repair humeral neck fractures in 22 patients. Factors affecting the final function were analyzed by multiple linear regression.
RESULTS
Mean patient age at the time of surgery was 56.9 years. The mean follow-up was 25.4 months, and all fractures united within 8 weeks. The average active forward flexion was 147.3 degrees , the average external rotation was 44.1 degrees , and the average internal rotation was T10. All patients were satisfied with their results. Two factors associated with patient American Shoulder and Elbow Surgeon scores were patient age and the strength of the supraspinatus.
DISCUSSION
Details in patients choosing and surgical management were discussed.
CONCLUSION
Closed reduction and internal fixation with a PHN can be an effective method for the treatment of 2-part surgical neck fractures.
背景
对于移位的肱骨近端骨折，有多种治疗选择。本研究对一系列使用锁定肱骨近端钉（PHN）治疗的患者进行了监测。
假说
对于肱骨外科颈 2 部分骨折的患者，PHN 固定可以是一种有效的方法。
材料和方法
22 例患者采用 PHN 手术修复肱骨颈骨折。通过多元线性回归分析影响最终功能的因素。
结果
手术时患者的平均年龄为 56.9 岁。平均随访 25.4 个月，所有骨折均在 8 周内愈合。主动前屈平均为 147.3°，外旋平均为 44.1°，内旋平均为 T10。所有患者对结果均满意。与美国肩肘外科医生评分相关的两个因素是患者年龄和冈上肌力量。
讨论
讨论了患者选择和手术管理的细节。
结论
闭合复位和 PHN 内固定可有效治疗 2 部分外科颈骨折。
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