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[用于稳定肱骨近端骨折的髓内爪:与其他半刚性技术的比较]

[Intramedullary claw for stabilization of proximal humerus fractures: a comparison with other semirigid techniques].

作者信息

Seyr V, Heel S, Dünser M

机构信息

Abteilung für Unfallchirurgie, Bezirkskrankenhaus Hall in Tirol, Osterreich.

出版信息

Chirurg. 2010 Aug;81(8):728-34. doi: 10.1007/s00104-009-1854-1.

DOI:10.1007/s00104-009-1854-1
PMID:20094697
Abstract

Proximal humerus fractures (pHF) are common. In this retrospective study intra-operative and postoperative data and complications of patients stabilized with conventional semirigid techniques (pins, n=30; helix wire, n=19) or a novel semirigid technique, the intramedullary claw (IMC, n=82) were compared. The type and frequency of postoperative complications differed between the groups (p<0.001). The IMC is a novel semirigid technique to stabilize pHF and seems to result in fewer complications than pins or helix wire. The frequency and relevance of a loss of repositioning in patients after IMC implantation need to be elucidated in long-term studies.

摘要

肱骨近端骨折(pHF)很常见。在这项回顾性研究中,对采用传统半刚性技术(针,n = 30;螺旋钢丝,n = 19)或新型半刚性技术髓内爪(IMC,n = 82)固定的患者的术中、术后数据及并发症进行了比较。各组术后并发症的类型和发生率存在差异(p<0.001)。IMC是一种用于稳定pHF的新型半刚性技术,似乎比针或螺旋钢丝导致的并发症更少。IMC植入术后患者复位丢失的频率及相关性需要在长期研究中阐明。

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1
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Chirurg. 2010 Aug;81(8):728-34. doi: 10.1007/s00104-009-1854-1.
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本文引用的文献

1
[Operative treatment of proximal humeral fractures with helix wire].[螺旋钢丝治疗肱骨近端骨折]
Unfallchirurg. 2006 Dec;109(12):1041-7; discussion 1048-9. doi: 10.1007/s00113-006-1088-3.
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Internal fixation of complex fractures of the proximal humerus.肱骨近端复杂骨折的内固定
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The treatment of subcapital humerus fracture with dynamic helix wire and the risk of concommitant lesion of the axillary nerve.
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Percutaneous pinning of the proximal part of the humerus. An anatomic study.肱骨近端经皮穿针固定术。一项解剖学研究。
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Orthopade. 2000 Apr;29(4):327-41. doi: 10.1007/s001320050453.
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Treatment of proximal humerus fracture using multiple intramedullary flexible nails.
Arch Orthop Trauma Surg. 2000;120(3-4):171-5. doi: 10.1007/s004020050037.
8
Assessment and management of three-and four-part proximal humeral fractures.三部分和四部分肱骨近端骨折的评估与处理
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Percutaneous fixation of three- and four-part fractures of the proximal humerus.肱骨近端三部分和四部分骨折的经皮固定
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J Bone Joint Surg Am. 1970 Sep;52(6):1077-89.