Minimally invasive plate osteosynthesis for proximal humeral fractures

Minimally invasive plate osteosynthesis for proximal humeral fractures
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DOI:
10.1177/230949901502300208
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发表时间:
2015-01-01
影响因子:
1.6
通讯作者:
Cheung, Nigel W. K.
Cheung, Nigel W. K.
中科院分区:
医学4区
文献类型:
--
作者:
Koljonen, Paul Aarne;Fang, Christian;Cheung, Nigel W. K.

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目的.目的报告经三角肌劈开入路微创钢板接骨术(MIPO)治疗肱骨近端骨折的疗效。10例男性和30例女性,年龄37 - 88岁,采用肱骨近端内锁定系统或肱骨近端锁定钢板,通过三角肌劈裂入路进行MIPO,治疗肱骨近端2部分(n=18)、3部分(n=20)和4部分(n=2)骨折。康复方案是标准化的。结果。所有40例患者均在3个月时随访,34例(85%)在6个月时随访,30例(75%)在1年时随访,13例(33%)在2年时随访。2例畸形愈合。无患者发生缺血性坏死、感染、神经麻痹或骨不连。第1年和第2年的平均Constant评分分别为75和87.5。6个月时的Constant评分与1年时的Constant评分相关(r=0.926,p
Purpose. To report the outcome after minimally invasive plate osteosynthesis (MIPO) through the deltoid-splitting approach for proximal humeral fractures.Methods. 10 men and 30 women aged 37 to 88 years underwent MIPO through the deltoid-splitting approach using the Proximal Humerus Internal Locking System or the Locking Proximal Humerus Plate for 2-part (n=18), 3-part (n=20), and 4-part (n=2) proximal humeral fractures. The rehabilitation protocol was standardised.Results. All 40 patients were followed up at 3 months, 34 (85%) at 6 months, 30 (75%) at one year, and 13 (33%) at 2 years. Two patients had malunion. No patient had avascular necrosis, infection, nerve palsy, or nonunion. The mean Constant score at one year and 2 years was 75 and 87.5, respectively. The Constant score at 6 months correlated to that at one year (r=0.926, p