Mouradian W H
Clin Orthop Relat Res. 1986 Nov(212):209-18.
A modified Zickel supracondylar rod was used in a prospective study for the fixation of 31 fractures of the proximal humerus in a patient population an average of 55 years of age. The follow-up period averaged 18 months and the overall Neer score at the time of final follow-up examination was 83. Six two-part fractures, ten three-part fractures and fracture dislocations, seven four-part fractures and dislocations, four pathologic fractures, and four humeral shaft fractures were treated with the device. The Neer score did not vary significantly among the groups, although the group with four-part fractures and dislocations was much younger than the overall group. Radiographic evidence of avascular necrosis occurred in the four-part group, but this was not associated with collapse or clinical findings. There was a slight correlation between increasing age and decreasing clinical result. There were no nonunions, vascular injuries, or infections in any patient.
在一项前瞻性研究中，使用改良的齐克尔髁上棒对平均年龄为55岁的患者群体中的31例肱骨近端骨折进行固定。随访期平均为18个月，末次随访检查时的总体Neer评分为83分。该装置治疗了6例二部分骨折、10例三部分骨折及骨折脱位、7例四部分骨折及脱位、4例病理性骨折和4例肱骨干骨折。尽管四部分骨折及脱位组比总体组年轻得多，但各组间Neer评分差异无统计学意义。四部分骨折组出现了缺血性坏死的影像学证据，但这与塌陷或临床表现无关。年龄增长与临床结果下降之间存在轻微相关性。所有患者均未发生骨不连、血管损伤或感染。
