Speck M, Lang F J, Regazzoni P
Departement Chirurgie der Universitätsklinik Basel.
Swiss Surg. 1996(2):51-6.
Dislocated compound fractures of the proximal humerus are often difficult to treat. The choice of treatment influences the final functional result. From 1984-1991 108 patients with dislocated compound fractures of the proximal humerus were operated with a T-plate osteosynthesis, retrospectively examined and classified according to the Neer-Classification. At an average follow up time of 5 years 72 patients had a clinical and radiological examination. 68% of these patients with 3-fragment fractures and 80% with 4-fragment fractures showed a modest to unsatisfactory result caused by fracture biology, imprecise fracture reduction or poor surgical procedure. Incorrect position of T-plates and inadequate material were distinguishable. The T-plate which was widely used in the late eighties for internal fixation has to be considered a failure for these particular types of fractures and should be limited for Collum chirurgicum fractures.
肱骨近端的脱位性复合骨折通常难以治疗。治疗方法的选择会影响最终的功能结果。1984年至1991年间，108例肱骨近端脱位性复合骨折患者接受了T形钢板接骨术治疗，并根据Neer分类法进行回顾性检查和分类。平均随访5年后，72例患者接受了临床和影像学检查。这些患者中，68%的三部分骨折患者和80%的四部分骨折患者由于骨折生物学特性、骨折复位不精确或手术操作不当，结果为一般至不满意。T形钢板位置不正确和材料不足是可以区分的。八十年代后期广泛用于内固定的T形钢板对于这些特殊类型的骨折来说应被视为失败的方法，仅应局限用于外科颈骨折。
