肱骨近端锁定钢板治疗老年肱骨近端外翻嵌插型骨折
굉골근단쇄정강판치료노년굉골근단외번감삽형골절
Locking proximal humeral plate for valgus impacted humeral fracture in the elderly
  • 万方数据
    解放军医学院学报 해방군의학원학보
    Academic Journal of Chinese Pla Medical School
    2013年 2期 148-149 ,共2页

    石涛%张立海%陈华%张里程%王浩%张群%郭义柱%梁向党%陶笙%唐佩福

    석도%장립해%진화%장리정%왕호%장군%곽의주%량향당%도생%당패복

    肱骨近端锁定钢板%内固定%肱骨近端骨折%切开复位 肱骨近耑鎖定鋼闆%內固定%肱骨近耑骨摺%切開複位
    굉골근단쇄정강판%내고정%굉골근단골절%절개복위
    locking proximal humerus plate%internal fixation%proximal humeral fracture%open reduction
    目的探讨肱骨近端锁定钢板治疗老年肱骨近端外翻嵌插型骨折的临床效果.方法2009年1月-2011年1月入院的>60岁的老年肱骨近端外翻嵌插型骨折患者13例,均为新鲜骨折,使用肱骨近端锁定钢板治疗,应用美国肩肘外科医师评估表(American shoulder and elbow surgeon,ASES)对术后肩关节功能进行评估.结果13例平均随访12.5(12~15)个月.肩关节活动范围平均为前屈上举(124.6±14.5)°,外旋(40.8±7.6)°,内旋平均达到T11(T9~L2).ASES评估平均为(78.6±8.2)分.最后一次随访时,均无肱骨头坏死.结论肱骨近端锁定钢板治疗>60岁老年肱骨近端外翻嵌插型骨折临床治疗效果良好.
    목적탐토굉골근단쇄정강판치료노년굉골근단외번감삽형골절적림상효과.방법2009년1월-2011년1월입원적>60세적노년굉골근단외번감삽형골절환자13례,균위신선골절,사용굉골근단쇄정강판치료,응용미국견주외과의사평고표(American shoulder and elbow surgeon,ASES)대술후견관절공능진행평고.결과13례평균수방12.5(12~15)개월.견관절활동범위평균위전굴상거(124.6±14.5)°,외선(40.8±7.6)°,내선평균체도T11(T9~L2).ASES평고평균위(78.6±8.2)분.최후일차수방시,균무굉골두배사.결론굉골근단쇄정강판치료>60세노년굉골근단외번감삽형골절림상치료효과량호.
    Objective To study the clinical outcomes of valgus impacted proximal humeral fracture in the elderly after locking proximal humeral plate (LPHP). Methods Thirteen over 60 years old patients with fresh valgus impacted proximal humeral fracture admitted to our hospital from January 2009 to January 2011 were treated with LPHP. The function of their should joints was assessed after operation according to the American shoulder and elbow surgeon (ASES) scale. Results The patients were followed up for 12-15 months (mean 12.5 months). Their forward flexion, external rotation, and average internal rotation were (124.6±14.5)°, (40.8±7.6)°, and T11 (T9-L2), respectively. Their average score on the ASES scale was 78.6±8.2. Conclusion LPHP can achieve good clinical outcomes in over 60 years old patients with valgus impacted proximal humeral fracture
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