The Augment of the Stability in Locking Compression Plate with Intramedullary Fibular Allograft for Proximal Humerus Fractures in Elderly People.
The Augment of the Stability in Locking Compression Plate with Intramedullary Fibular Allograft for Proximal Humerus Fractures in Elderly People.
复制标题
髓内同种异体腓骨移植锁定加压钢板治疗老年人肱骨近端骨折的稳定性增强。
DOI：
10.1155/2018/3130625
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发表时间：
2018
影响因子：
--
通讯作者：
Tang P
中科院分区：
文献类型：
--
作者：
Chen H;Yin P;Wang S;Li J;Zhang L;Khan K;Zhang L;Tang P
这项研究的目的是比较老年人在老年人中锁紧压缩板（LCP）（LCP）和LCP与腓骨同种异体移植物之间的临床结局和并发症与腓骨同种异体移植物。
在2010年1月至2013年12月之间，总共有97名流离失所者的老年患者通过LCP或LCP用腓骨移植治疗，最后包括89例患者。将所有患者分为I组（由LCP治疗）和II组（由LCP用腓骨同种异体移植治疗）。通过手臂，肩膀和手（仪表板）得分和恒定的毛利分数（CMS）的残疾评估功能结果，并且每组还记录并发症。
I组的平均随访时间为35.2个月（范围为24-48个月），II组为33.5个月（范围为24-48个月）。 I组患者的破折号显着高于II组患者，I组患者的CMS评分明显低于II组患者（P <0.05）。 I组的变速疾病，螺钉穿孔和还原> 5mm的损失显着高于II组（P <0.05）。
目前的结果表明，与单独使用LCP治疗的患者相比，用腓骨同种异体移植治疗的LCP患者具有更好的功能结果和较低的并发症率。合适的空隙填充物在肱骨近端支撑头部碎片，内侧皮质骨和更大的结节可能在降低老年患者并发症发生率（尤其是骨质疏松症）的发生率方面可能起关键作用。
The objective of this study was to compare the clinical outcomes and complications between the locking compression plate (LCP) and LCP with fibular allograft in the treatment of patients with displaced proximal humerus fracture (PHF) in elderly people. Between January 2010 and December 2013, a total of 97 elderly patients with displaced PHF were treated by LCP or LCP with fibular allograft, and finally 89 patients were included in our study. All the patients were divided into Group I (patients treated by LCP) and Group II (patients treated by LCP with fibular allograft). Function results were assessed by the disability of the arm, shoulder, and hand (DASH) score and Constant-Murley score (CMS), and complications were also recorded in each group. The average follow-up was 35.2 months (range, 24-48 months) in Group I and 33.5 months (range, 24-48 months) in Group II. DASH in patients of Group I was significantly higher than that in patients in Group II and patients of Group I had CMS scores significantly lower than patients in Group II (P<0.05). The rates of varus malunion, screw perforation, and loss of reduction>5mm were significantly higher in Group I than in Group II (P<0.05). The present results showed that that patients treated by LCP with fibular allograft had a better functional outcome and a lower complication rate compared to patients treated by LCP alone. Suitable void filler in the proximal humerus for supporting the head fragment, medial cortical bone, and greater tuberosity might play a key role in reducing the incidence of the complications in elderly patients, especially with osteoporosis.
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影响因子：
3
作者：
Goldman, R T;Koval, K J;Zuckerman, J D
通讯作者：
Zuckerman, J D
影响因子：
1
作者：
Gönç U;Atabek M;Teker K;Tanrıöver A
通讯作者：
Tanrıöver A
影响因子：
4.8
作者：
Heary, RF;Schlenk, RP;Brotea, C
通讯作者：
Brotea, C
影响因子：
3
作者：
Chow, Roxanne M.;Begum, Farhana;Bouliane, Martin J.
通讯作者：
Bouliane, Martin J.
影响因子：
2.3
作者：
Gardner, Michael J.;Weil, Yoram;Lorich, Dean G.
通讯作者：
Lorich, Dean G.