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侧倾仰卧位手术体位适用于老年患者肱骨近端骨折手术。

Surgical Position of Lateral-Tilted Supine is Suitable for Proximal Humeral Fracture Operations in Geriatric Patients.

作者信息

Yang Yun-Fa, Huang Jian-Wen, Gao Xiao-Sheng, Xu Zhong-He

机构信息

Department of Orthopaedic Surgery, Guangzhou First People's Hospital, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangdong, China.

出版信息

Geriatr Orthop Surg Rehabil. 2022 Oct 22;13:21514593221136797. doi: 10.1177/21514593221136797. eCollection 2022.

DOI:10.1177/21514593221136797
PMID:36310892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9597008/
Abstract

OBJECTIVE

To report a new surgical position of lateral-tilted supine (LTS) for geriatric proximal humeral fracture operations.

METHODS

Between January 2016 and December 2020, we adopted the LTS position for operations in 65 geriatric patients with proximal humeral fractures.

RESULTS

Sixty-five patients including 25 males and 40 females aged 80.3 ± 8.5 years. The LTS position could be used for almost all proximal humeral fracture surgeries, such as ORIF with plate, suture anchor, and other fixation in 4 patients, open reduction and internal fixation (ORIF) with multiLoc nailing in 48, and shoulder hemiarthroplasty (SHA) in 13. Surgical position setting times were 11.47 ± 2.14 min. The systolic blood pressure changes before and after positioning were 15.07 ± 8.72 mmHg. All of the C-arm X-ray directions, including the cephalic side, contralateral side, and ipsilateral side, can be used in the LTS position surgeries. No surgical complications or no surgical position-related complications were found in these 65 cases.

CONCLUSION

The surgical position of LTS is suitable for geriatric proximal humeral fracture operations.

摘要

目的

报告一种用于老年肱骨近端骨折手术的新型侧卧倾斜仰卧位（LTS）手术体位。

方法

2016年1月至2020年12月期间，我们采用LTS体位对65例老年肱骨近端骨折患者进行手术。

结果

65例患者中，男性25例，女性40例，年龄80.3±8.5岁。LTS体位几乎可用于所有肱骨近端骨折手术，如4例采用钢板、缝合锚钉及其他固定方式的切开复位内固定术（ORIF），48例采用多锁定髓内钉的切开复位内固定术（ORIF），以及13例肩关节半关节置换术（SHA）。手术体位设置时间为11.47±2.14分钟。体位摆放前后收缩压变化为15.07±8.72mmHg。LTS体位手术可使用所有C形臂X线投照方向，包括头侧、对侧和同侧。这65例患者未发现手术并发症或与手术体位相关的并发症。

结论

LTS手术体位适用于老年肱骨近端骨折手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/568317a545a0/10.1177_21514593221136797-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/fdb04ab0aef5/10.1177_21514593221136797-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/e60568f44c3a/10.1177_21514593221136797-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/cd280d6a6a56/10.1177_21514593221136797-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/7fe990494ba6/10.1177_21514593221136797-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/ed12b2c749cd/10.1177_21514593221136797-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/568317a545a0/10.1177_21514593221136797-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/fdb04ab0aef5/10.1177_21514593221136797-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/e60568f44c3a/10.1177_21514593221136797-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/cd280d6a6a56/10.1177_21514593221136797-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/7fe990494ba6/10.1177_21514593221136797-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/ed12b2c749cd/10.1177_21514593221136797-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4697/9597008/568317a545a0/10.1177_21514593221136797-fig6.jpg

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本文引用的文献

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