Sobel Andrew D, Shah Kalpit N, Paxton E Scott
Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI.
J Orthop Trauma. 2017 Aug;31 Suppl 3:S47-S49. doi: 10.1097/BOT.0000000000000909.
Proximal humerus fractures (PHFs) are common injuries seen mostly in elderly patients. Although nonoperative management is acceptable for most patients, surgical fixation is often advocated for younger patients or active, elderly patients with reconstructable fractures. A variety of fixation methods exist: percutaneous pinning, open reduction and internal fixation with locking plates, and intramedullary nailing are viable options. Modern intramedullary nails serve as excellent options for the fixation of many operative PHFs. In this Supplemental Digital Content 1 (see video, http://links.lww.com/JOT/A27), we discuss the care of a 63-year-old active, healthy female with a 2-part PHF. The details of fixation of PHFs using a straight intramedullary nail are included, as well as a relevant literature review and description of our postoperative rehabilitation protocol.
肱骨近端骨折（PHFs）是常见损伤，多见于老年患者。虽然大多数患者采用非手术治疗是可以接受的，但对于年轻患者或活跃的、骨折可重建的老年患者，通常提倡手术固定。存在多种固定方法：经皮穿针、切开复位锁定钢板内固定和髓内钉固定都是可行的选择。现代髓内钉是许多手术治疗的PHFs固定的理想选择。在补充数字内容1（见视频，http://links.lww.com/JOT/A27）中，我们讨论了一名63岁活跃、健康女性的两部分PHF的治疗。包括使用直形髓内钉固定PHFs的细节，以及相关文献综述和我们的术后康复方案描述。
