• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

肱骨头颈部假关节：应用瓦尔什等人描述的技术的结果分析

PSEUDARTHROSIS OF THE HUMERAL NECK: ANALYSIS OF THE RESULTS WHEN USING THE TECHNIQUE DESCRIBED BY WALCH ET AL.

作者信息

Checchia Sérgio Luis, Miyazaki Alberto Naoki, Fregoneze Marcelo, Santos Pedro Doneux, da Silva Luciana Andrade, Nascimento Luís Gustavo Prata

机构信息

Assistant Professor, School of Medical Sciences, Santa Casa de Sāo Paulo (FCMSCSP, Faculdade de Ciências Médicas da Santa Casa de Sao Paulo).

Professor, FCMSCSP; Head, Shoulder and Elbow Group, DOT-FCMSCSP.

出版信息

Rev Bras Ortop. 2015 Nov 16;44(3):239-46. doi: 10.1016/S2255-4971(15)30074-4. eCollection 2009 Jan.

DOI:10.1016/S2255-4971(15)30074-4
PMID:27004178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4783674/
Abstract

OBJECTIVE

To evaluate bone healing and the patient's outcome after open reduction and internal fixation, when using the technique described by Walch et al, in 1996, which uses conventional intramedullary corticocancellous bone graft and internal fixation with plate and screws added by a tricortical intramedullary bone graft, also autologous.

METHODS

From July 1997 to May 2005, 14 patients were treated by this technique, 14 of these diagnosed with pseudoarthrosis of the humeral proximal end. One died at the early postoperative period due to pulmonary thromboembolism; therefore, 13 patients were re-evaluated.

RESULTS

The mean follow-up time was 51.4 months (ranging from 12 to 130 months). Four patients evolved with excellent results, four good and five fair results. Therefore, there were 61.5% of satisfactory results according to UCLA functional scale and no poor result. Twelve cases (92%) healed within 3.5 months in average.

CONCLUSION

the surgical treatment of the nonunion of the surgical neck of the humerus using this technique showed an effective outcome with 92% of healing; excellent and good results in 61.5% of the cases, as well as satisfaction of all patients with their final results; nonunion resulting from two-part fractures had better results when compared with three-part fractures.

摘要

目的

采用瓦尔什等人于1996年描述的技术，即使用传统的髓内皮质松质骨移植，并通过三皮质髓内骨移植（也是自体的）进行钢板和螺钉内固定，评估切开复位内固定术后的骨愈合情况及患者预后。

方法

1997年7月至2005年5月，14例患者接受了该技术治疗，其中14例被诊断为肱骨近端假关节。1例患者术后早期因肺血栓栓塞死亡；因此，对13例患者进行了重新评估。

结果

平均随访时间为51.4个月（范围为12至130个月）。4例患者结果为优，4例为良，5例为可。因此，根据加州大学洛杉矶分校功能量表，满意结果占61.5%，无差的结果。12例（92%）平均在3.5个月内愈合。

结论

采用该技术治疗肱骨外科颈骨不连显示出有效的结果，愈合率为92%；61.5%的病例结果为优或良，所有患者对最终结果满意；两部分骨折导致的骨不连与三部分骨折相比结果更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/869cf856125c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/198c3cd05760/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/6c29f1e0deff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/31327b805146/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/c21ab0c33f87/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/d0cf76e195cb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/bab9cd1e4f98/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/869cf856125c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/198c3cd05760/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/6c29f1e0deff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/31327b805146/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/c21ab0c33f87/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/d0cf76e195cb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/bab9cd1e4f98/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc7/4783674/869cf856125c/gr7.jpg

相似文献

1
PSEUDARTHROSIS OF THE HUMERAL NECK: ANALYSIS OF THE RESULTS WHEN USING THE TECHNIQUE DESCRIBED BY WALCH ET AL.肱骨头颈部假关节：应用瓦尔什等人描述的技术的结果分析
Rev Bras Ortop. 2015 Nov 16;44(3):239-46. doi: 10.1016/S2255-4971(15)30074-4. eCollection 2009 Jan.
2
[High bone consolidation rates after humeral head-preserving revision surgery in non-unions of the proximal humerus].[肱骨近端骨不连保留肱骨头翻修术后的高骨愈合率]
Z Orthop Unfall. 2014 Dec;152(6):596-602. doi: 10.1055/s-0034-1383208. Epub 2014 Dec 22.
3
Outcome of open reduction and internal fixation of surgical neck nonunions of the humerus.肱骨外科颈骨不连切开复位内固定的结果
J Orthop Trauma. 2004 Feb;18(2):63-7. doi: 10.1097/00005131-200402000-00001.
4
The functional outcome of operative treatment of ununited fractures of the humeral diaphysis in older patients.老年患者肱骨干骨折不愈合的手术治疗功能转归
J Bone Joint Surg Am. 1999 Feb;81(2):177-90. doi: 10.2106/00004623-199902000-00005.
5
Troubleshooting in the Treatment of Pseudoarthrosis After a Humeral Diaphyseal Fracture: A Case Report.肱骨干骨折后假关节治疗中的故障排除：一例报告
J UOEH. 2016;38(4):297-304. doi: 10.7888/juoeh.38.297.
6
[Different surgical methods for treatment of senile osteoporotic comminuted proximal humerus fracture].[治疗老年骨质疏松性肱骨近端粉碎性骨折的不同手术方法]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009 Dec;23(12):1443-6.
7
Internal fixation of proximal humerus fractures using the locking proximal humerus plate.使用锁定肱骨近端钢板对肱骨近端骨折进行内固定。
Oper Orthop Traumatol. 2005 Feb;17(1):25-50. doi: 10.1007/s00064-005-1120-8.
8
Fractures and fracture-dislocations of the proximal humerus: A retrospective analysis of 82 cases treated with the Philos(®) locking plate.肱骨近端骨折与骨折脱位：对82例采用Philos(®)锁定钢板治疗病例的回顾性分析
Injury. 2014 Dec;45 Suppl 6:S43-8. doi: 10.1016/j.injury.2014.10.022. Epub 2014 Nov 4.
9
Open reduction and fixation with a locking plate without bone grafting is a reasonable and safe option for treating proximal humerus nonunion.采用锁定钢板进行切开复位内固定且不植骨是治疗肱骨近端骨不连的一种合理且安全的选择。
Int Orthop. 2018 Sep;42(9):2199-2209. doi: 10.1007/s00264-018-3820-3. Epub 2018 Feb 13.
10
[Type C2 proximal humeral fracture fixation using locking-plate with an intramedullary fibular allograft].使用带髓内腓骨同种异体骨的锁定钢板固定C2型肱骨近端骨折
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Feb;28(2):201-4.

引用本文的文献

1
Open reduction and fixation with a locking plate without bone grafting is a reasonable and safe option for treating proximal humerus nonunion.采用锁定钢板进行切开复位内固定且不植骨是治疗肱骨近端骨不连的一种合理且安全的选择。
Int Orthop. 2018 Sep;42(9):2199-2209. doi: 10.1007/s00264-018-3820-3. Epub 2018 Feb 13.

本文引用的文献

1
Blade plate fixation; technic suitable for fractures of the surgical neck of the humerus and similar lesions.接骨板固定；适用于肱骨头外科颈骨折及类似损伤的技术。
J Am Med Assoc. 1949 Dec 17;141(16):1111-3. doi: 10.1001/jama.1949.02910160001001.
2
Nonunions of the humerus.肱骨骨不连
Clin Orthop Relat Res. 2004 Feb(419):46-50. doi: 10.1097/00003086-200402000-00008.
3
Outcome of open reduction and internal fixation of surgical neck nonunions of the humerus.肱骨外科颈骨不连切开复位内固定的结果
J Orthop Trauma. 2004 Feb;18(2):63-7. doi: 10.1097/00005131-200402000-00001.
4
PSEUDARTHROSIS OF THE SURGICAL NECK OF THE HUMERUS. TWO CASES, ONE BILATERAL.肱骨外科颈假关节。两例，其中一例为双侧。
Acta Orthop Scand. 1964;34:132-8. doi: 10.3109/17453676408989312.
5
Locked-nail treatment of humeral surgical neck nonunions.肱骨外科颈骨不连的锁定钢板治疗
J Trauma. 2003 Mar;54(3):530-5. doi: 10.1097/01.TA.0000034588.37392.C2.
6
Shoulder arthroplasty for proximal humeral nonunions.
J Shoulder Elbow Surg. 2002 Mar-Apr;11(2):114-21. doi: 10.1067/mse.2002.120914.
7
The use of a blade plate and autogenous cancellous bone graft in the treatment of ununited fractures of the proximal humerus.使用接骨板和自体松质骨移植治疗肱骨近端骨折不愈合。
J Shoulder Elbow Surg. 2001 Nov-Dec;10(6):501-7. doi: 10.1067/mse.2001.118414.
8
Classification of non-unions of the proximal humerus.肱骨近端骨不连的分类
Int Orthop. 2000;24(4):217-20. doi: 10.1007/s002640000157.
9
Management of surgical neck nonunions.
Orthop Clin North Am. 2000 Jan;31(1):51-61. doi: 10.1016/s0030-5898(05)70127-9.
10
Operative treatment of nonunions of the surgical neck of the humerus.肱骨外科颈骨不连的手术治疗
J Shoulder Elbow Surg. 1996 May-Jun;5(3):169-80. doi: 10.1016/s1058-2746(05)80002-3.