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使用髓内钢板支撑肱骨近端骨折的内侧铰链。

Supporting the medial hinge in proximal humerus fractures with an intramedullary plate.

作者信息

Gardenbroek Tjibbe J, Oud Sharon, Formijne Jonkers Henk A, Goslings J Carel

机构信息

Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands.

出版信息

Trauma Case Rep. 2021 Apr 21;33:100474. doi: 10.1016/j.tcr.2021.100474. eCollection 2021 Jun.

DOI:10.1016/j.tcr.2021.100474
PMID:33997224
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102799/
Abstract

Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We describe two cases of patients with a dislocated 4-part humerus fracture treated with a locking plate and an additional small intramedullary plate to support the medial hinge. This technique is simple and allows for an enhanced stability of the medial hinge during and after surgery.

摘要

肱骨近端骨折很常见，约20%的移位骨折可能从手术中获益。研究发现，内侧支撑不足是肱骨近端骨折手术固定失败的一个预测因素。恢复内侧铰链的最佳技术尚不清楚。我们描述了两例四部分肱骨脱位骨折患者，采用锁定钢板和一块额外的小型髓内钢板来支撑内侧铰链进行治疗。该技术简单，能在手术中和手术后增强内侧铰链的稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/be89551d263e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/04b6c1468168/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/12a2bfe1aff2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/0539ae578b9e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/be89551d263e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/04b6c1468168/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/12a2bfe1aff2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/0539ae578b9e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6556/8102799/be89551d263e/gr4.jpg

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本文引用的文献

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Augmentation of plate osteosynthesis for proximal humeral fractures: a systematic review of current biomechanical and clinical studies.肱骨近端骨折的接骨板内固定增强：当前生物力学和临床研究的系统评价。
Arch Orthop Trauma Surg. 2019 Aug;139(8):1075-1099. doi: 10.1007/s00402-019-03162-2. Epub 2019 Mar 22.
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Current concepts in locking plate fixation of proximal humerus fractures.肱骨近端骨折锁定钢板固定的当前概念
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Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register.
2011例肱骨骨折的流行病学及病理解剖模式：来自瑞典骨折登记处的数据。
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Application of Additional Medial Plate in Treatment of Proximal Humeral Fractures With Unstable Medial Column: A Finite Element Study and Clinical Practice.附加内侧钢板在治疗伴有不稳定内侧柱的肱骨近端骨折中的应用：有限元研究与临床实践
Medicine (Baltimore). 2015 Oct;94(41):e1775. doi: 10.1097/MD.0000000000001775.
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Additional calcar support using a blade device reduces secondary varus displacement following reconstruction of the proximal humerus: a prospective study.使用刀片装置提供额外的肱骨距支持可减少肱骨近端重建后的继发性内翻移位：一项前瞻性研究。
Eur J Med Res. 2015 Oct 7;20:82. doi: 10.1186/s40001-015-0178-5.
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Medial calcar support and radiographic outcomes of plate fixation for proximal humeral fractures.肱骨近端骨折钢板固定的内侧距支撑与影像学结果
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