Hepp Pierre, Josten Christoph
Department of Trauma and Reconstructive Surgery, University of Leipzig, Leipzig, Germany.
Department of Trauma and Reconstructive Surgery , University of Leipzig, 04103, Leipzig, Germany.
Eur J Trauma Emerg Surg. 2007 Aug;33(4):337-44. doi: 10.1007/s00068-007-7089-2. Epub 2007 Jul 31.
Surgical treatment of proximal humeral fractures still remains a challenge. This is primarily due to the fact that sufficient implant fixation in humeral head fractures is often not achieved due to substantial bone tissue loss with increasing age. In the last few years the locking plates and locking nails have been introduced into clinical practice with varying results. The biomechanical studies have focused on locking plate osteosynthesis as well. The following paper focuses on bone quality, biomechanical studies and biology of proper osteosynthesis and reviews the most recent literature.
肱骨近端骨折的外科治疗仍然是一项挑战。这主要是因为随着年龄增长，骨组织大量流失，常常无法在肱骨头骨折中实现足够的植入物固定。在过去几年中，锁定钢板和锁定钉已被引入临床实践，但其效果各异。生物力学研究也聚焦于锁定钢板接骨术。以下论文聚焦于骨质、生物力学研究以及适当接骨术的生物学原理，并对最新文献进行综述。
