Hessmann M, Gehling H, Gotzen L
Klinikum für Unfallchirurgie, Philipps-Universität Marburg.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:907-9.
Functional results after plate osteosynthesis of unstable and displaced proximal humeral fractures, occurring in elderly patients, are good to excellent in 70% of patients, when surgery is performed according to the no-touch-technique. The incidence of aseptic necrosis of the humeral head and non-union are, in comparison with other internal fixation techniques, low. In four-part fractures and fracture-dislocations, primary arthroplasty remains the treatment of choice.
对于老年患者发生的不稳定和移位的肱骨近端骨折，采用不接触技术进行钢板接骨术后，70%患者的功能结果为良好至优秀。与其他内固定技术相比，肱骨头无菌性坏死和骨不连的发生率较低。对于四部分骨折和骨折脱位，一期关节成形术仍是首选治疗方法。
