Damanakis K, Schaal O, Mann J, Müller K H
Klinik für Unfall- und Wiederherstellungschirurgie, Ferdinand-Sauerbruch-Klinikum, Wuppertal.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:910-1.
Between 1990 and 1994 94 patients over 65 years of age with subcapital humeral fractures were treated by plate osteosynthesis combined with a modified postoperative treatment including intensive physical exercise in the early postoperative period. Three months after surgery all osteosynthesis materials were removed using a differentiated treatment of the subacromial area. In the follow-up study 69 of the 94 patients were examined; 22 patients showed an excellent, 26 a good, 9 a satisfactory, and 12 an unsatisfactory result. Thus, we recommend plate osteosynthesis of subcapital humeral fractures in elderly people in combination with our standardized postoperative regimes.
1990年至1994年间，对94例65岁以上的肱骨近端骨折患者采用钢板内固定术，并结合改良的术后治疗，包括术后早期强化体育锻炼。术后三个月，采用不同的肩峰下区域治疗方法取出所有内固定材料。在随访研究中，对94例患者中的69例进行了检查；22例结果优秀，26例良好，9例满意，12例不满意。因此，我们推荐在老年人肱骨近端骨折中采用钢板内固定术，并结合我们标准化的术后治疗方案。
