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肱骨远端关节内骨折的手术治疗;412例随访病例结果(AO收集的统计数据)

[Operative treatment of distal intra-articular humerus fractures; results of 412 follow-up cases (AO-collected statistics)].

作者信息

Lob G, Burri C, Feil J

出版信息

Langenbecks Arch Chir. 1984;364:359-61. doi: 10.1007/BF01823235.

Abstract

Intraarticular fractures require a surgical therapy. The functional results are depending on the anatomical reconstruction of the joint surfaces and on early kinesitherapy. Remaining disabilities may be controlled in 2/3 of the cases to such an extent that no alterations are necessary in private or professional life. The overall result was very good in 23.8%, good in 36.0%, moderate in 22.3% and bad in 17.9%. These bad results are due to the rate of polytraumatized patients (18%) and the high rate of open comminuted fractures (27%).

摘要

关节内骨折需要手术治疗。功能结果取决于关节面的解剖重建和早期运动疗法。在三分之二的病例中,残留残疾可得到控制,以至于在个人或职业生活中无需改变。总体结果非常好的占23.8%,好的占36.0%,中等的占22.3%,差的占17.9%。这些不良结果归因于多发伤患者的比例(18%)和开放性粉碎性骨折的高比例(27%)。

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