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在保守治疗失败后，使用新型髓内笼状结构固定肱骨近端骨折

Fixation of a Proximal Humeral Fracture Using a Novel Intramedullary Cage Construct following a Failed Conservative Treatment.

作者信息

Macy John

机构信息

Copley Hospital, Morrisville, VT 05661, USA.

出版信息

Case Rep Orthop. 2017;2017:4347161. doi: 10.1155/2017/4347161. Epub 2017 Feb 1.

DOI:10.1155/2017/4347161
PMID:28255485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5309419/
Abstract

A majority of proximal humeral fractures are preferably treated conservatively. However, surgical management may be beneficial in proximal humeral fractures with significant displacement or angulation. Unfortunately, the complication rates associated with current surgical procedures for fracture fixation, ORIF and IM devices, can be unacceptably high. A new technology, termed the PH Cage, addresses the technical limitations associated with current technologies available for fixation of proximal humeral fractures. It allows for intramedullary fixation of a PH fracture and provides direct load bearing support to the articular surface and buttresses the medial column during healing. We are presenting our first experience with the PH Cage for the fixation of a PH fracture, which had previously failed conservative management.

摘要

大多数肱骨近端骨折最好采用保守治疗。然而，对于有明显移位或成角的肱骨近端骨折，手术治疗可能有益。不幸的是，目前用于骨折固定的手术方法，即切开复位内固定术（ORIF）和髓内器械，其并发症发生率可能高得令人难以接受。一种名为PH Cage的新技术解决了与目前可用于肱骨近端骨折固定的技术相关的技术限制。它允许对肱骨近端骨折进行髓内固定，并在愈合过程中为关节面提供直接的承重支撑，同时支撑内侧柱。我们正在介绍我们首次使用PH Cage固定肱骨近端骨折的经验，该骨折先前保守治疗失败。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/c56be838f06e/CRIOR2017-4347161.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/106739a8744a/CRIOR2017-4347161.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/9923a289c387/CRIOR2017-4347161.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/c56be838f06e/CRIOR2017-4347161.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/106739a8744a/CRIOR2017-4347161.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/9923a289c387/CRIOR2017-4347161.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a04/5309419/c56be838f06e/CRIOR2017-4347161.003.jpg

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2
Does medial support decrease major complications of unstable proximal humerus fractures treated with locking plate?内侧支撑是否会降低锁定钢板治疗不稳定型肱骨近端骨折的主要并发症？
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