Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA,
Curr Rev Musculoskelet Med. 2013 Mar;6(1):47-56. doi: 10.1007/s12178-012-9150-y.
The treatment of proximal humerus fractures continues to evolve. While the many of these injuries can be managed nonoperatively, a certain percentage require operative treatment. Open reduction internal fixation can offer excellent outcomes when performed in the appropriate patient and utilizing proper techniques. This article reviews the most up-to-date literature regarding all phases of proximal humerus fracture osteosynthesis, including diagnosis, imaging, anatomic considerations, surgical indications, fixation, and surgical outcomes.
肱骨近端骨折的治疗方法仍在不断发展。虽然许多此类损伤可以通过非手术方式治疗,但仍有一定比例需要手术治疗。对于合适的患者,采用适当的技术进行切开复位内固定可以获得极好的疗效。本文综述了肱骨近端骨折内固定术所有阶段的最新文献,包括诊断、影像学、解剖学考虑、手术适应证、固定和手术结果。