肱骨近端骨折髓内骨笼固定术1年再手术率低：一项多中心研究结果
Intramedullary Cage Fixation for Proximal Humerus Fractures Has Low Reoperation Rates at 1 Year: Results of a Multicenter Study.
作者信息
Goodnough Lawrence Henry, Campbell Sean T, Githens Thomas C, DeBaun Malcolm R, Bishop Julius A, Gardner Michael J
机构信息
Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA; and.
Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Redwood City, CA.
出版信息
J Orthop Trauma. 2020 Apr;34(4):193-198. doi: 10.1097/BOT.0000000000001712.
OBJECTIVES
To determine reoperation rates after treatment of a proximal humerus fracture with cage fixation.
DESIGN
Retrospective case series.
SETTING
Eleven U.S. hospitals.
PATIENTS
Fifty-two patients undergoing surgical treatment of proximal humerus fractures.
INTERVENTION
Open reduction and internal fixation of a proximal humerus fracture with a proximal humerus cage.
MAIN OUTCOME MEASUREMENTS
Reoperation rate at 1 year.
RESULTS
At a minimum follow-up of 1 year, reoperations occurred in 4/52 patients (7.7%). Avascular necrosis (2/41) occurred in 4.9% of patients.
CONCLUSION
Standard locked plating remains an imperfect solution for proximal humerus fractures. Proximal humerus cage fixation had low rates of revision surgery at 1 year. Proximal humerus cage fixation may offer reduced rates of complication and reoperation when compared with conventional locked plating for the management of proximal humerus fractures.
LEVEL OF EVIDENCE
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
目的
确定采用髓内钉固定治疗肱骨近端骨折后的再次手术率。
设计
回顾性病例系列研究。
地点
美国11家医院。
患者
52例接受肱骨近端骨折手术治疗的患者。
干预措施
采用肱骨近端髓内钉对肱骨近端骨折进行切开复位内固定。
主要观察指标
1年时的再次手术率。
结果
至少随访1年时，52例患者中有4例（7.7%）进行了再次手术。41例患者中有2例（4.9%）发生了缺血性坏死。
结论
标准锁定钢板治疗肱骨近端骨折仍存在缺陷。肱骨近端髓内钉固定1年时翻修手术率较低。与传统锁定钢板治疗肱骨近端骨折相比，肱骨近端髓内钉固定可能降低并发症和再次手术率。
证据水平
治疗性四级证据。有关证据水平的完整描述，请参阅《作者须知》。
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