Mafi Reza, Khan Wasim, Mafi Pouya, Hindocha Sandip
Department of Orthopaedic Surgery, Diana Princess of Wales Hospital, Grimsby, DN33 2BA, UK.
Royal National Orthopaedic Hospital, UK.
Open Orthop J. 2014 Oct 31;8:437-41. doi: 10.2174/1874325001408010437. eCollection 2014.
Proximal humeral fractures have been a topic of discussion in medical literature dating back as far as 3rd century BC. Today, these fractures are the most common type of humeral fractures and account for about 5-6% of all fractures in adults with the incidence rising rapidly with age. In broad terms the management of proximal humeral fractures can be divided into two categories: conservative versus surgical intervention. The aim of treatment is to stabilize the fracture, aid better union and reduce pain during the healing process. Failure to achieve this can result in impairment of function, and significantly weaken the muscles inserting onto the proximal humerus. With the rising incidence of proximal humeral fractures, especially among the elderly, the short and long term burden for patients as well as the wider society is increasing. Furthermore, there is a lack of consistency in the definitive treatment and management of displaced fractures. This systematic review of literature compares the surgical treatment of proximal humeral fractures with their conservative management, by evaluating the available randomised controlled trials on this topic.
肱骨近端骨折自公元前3世纪起就一直是医学文献讨论的话题。如今，这些骨折是最常见的肱骨骨折类型，约占成人所有骨折的5%至6%，且发病率随年龄增长迅速上升。广义上讲，肱骨近端骨折的治疗可分为两类：保守治疗与手术干预。治疗目的是稳定骨折、促进更好的愈合并减轻愈合过程中的疼痛。若无法达成这一目标，可能导致功能受损，并显著削弱附着于肱骨近端的肌肉。随着肱骨近端骨折发病率的上升，尤其是在老年人中，患者以及更广泛社会所承受的短期和长期负担都在增加。此外，对于移位骨折的确定性治疗和管理缺乏一致性。本系统文献综述通过评估该主题现有的随机对照试验，比较了肱骨近端骨折的手术治疗与保守治疗。
