지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.6
- 수록면
- 68 - 74 (7page)
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초록· 키워드
오류제보하기
Background: The purpose of our study was to evaluate the functional and radiologic outcomes of additive augmentation sutures through rotator cuff for proximal humeral fractures stabilized locking plate in elderly patients.
Methods: We enrolled 74 patients over the age of 60 years who received internal fixation using locking plates for proximal humeral fractures. Of these, 50 patients had additive augmentation sutures through rotator cuff. The mean age at the time of surgery was 72.1 years (range, 60?89 years), and the mean follow-up period was 17.5 months (range, 12?62 months). The humeral neck-shaft angle and humeral head height were used as radiological markers to assess the effect of additive augmentation sutures through rotator cuff. We allocated the patients who received additive augmentation sutures into group A and those who did not into group B.
Results: At the final follow-up, the mean Korean Showlder Society score and Constant scores were 88.96 ± 12.1 and 86.6 ± 11.9, respectively, in group A and 86.21 ± 11.8 and 85.3 ± 11.7, respectively, in group B (p=0.368, 0.271). At the final follow-up, the mean loss in humeral neck-shaft angle from the time of immediate postoperative measurement was 1.6° in group A and 4.8° in group B, whereas the mean loss in humeral head height was 0.82 mm in group A and 0.52 mm in group B (p=0.029, 0.178).
Conclusions: The surgical outcomes of internal fixation using locking plates for proximal humeral fractures were clinically and radiologically good in elderly patients over the age of 60 years without any observable complications. Further, the loss of humeral head shaft angle at the final follow-up from its initial postoperative measurement was significantly smaller in patients who received an additive augmentation suture than in those who did not. Thus, we conclude that augmentation sutures are a beneficial option for elderly patients that clinicians can consider at the time of surgical decision making.
Methods: We enrolled 74 patients over the age of 60 years who received internal fixation using locking plates for proximal humeral fractures. Of these, 50 patients had additive augmentation sutures through rotator cuff. The mean age at the time of surgery was 72.1 years (range, 60?89 years), and the mean follow-up period was 17.5 months (range, 12?62 months). The humeral neck-shaft angle and humeral head height were used as radiological markers to assess the effect of additive augmentation sutures through rotator cuff. We allocated the patients who received additive augmentation sutures into group A and those who did not into group B.
Results: At the final follow-up, the mean Korean Showlder Society score and Constant scores were 88.96 ± 12.1 and 86.6 ± 11.9, respectively, in group A and 86.21 ± 11.8 and 85.3 ± 11.7, respectively, in group B (p=0.368, 0.271). At the final follow-up, the mean loss in humeral neck-shaft angle from the time of immediate postoperative measurement was 1.6° in group A and 4.8° in group B, whereas the mean loss in humeral head height was 0.82 mm in group A and 0.52 mm in group B (p=0.029, 0.178).
Conclusions: The surgical outcomes of internal fixation using locking plates for proximal humeral fractures were clinically and radiologically good in elderly patients over the age of 60 years without any observable complications. Further, the loss of humeral head shaft angle at the final follow-up from its initial postoperative measurement was significantly smaller in patients who received an additive augmentation suture than in those who did not. Thus, we conclude that augmentation sutures are a beneficial option for elderly patients that clinicians can consider at the time of surgical decision making.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - Palvanen M / 2006 / Update in the epidemiology of proximal humeral fractures / Clin Orthop Relat Res 442 : 87 ~ 92
[학술지(정기간행물)] - Court-Brown CM / 2006 / Epidemiology of adult fractures : a review / Injury 37 (8) : 691 ~ 697
[학술지(정기간행물)] - Neer CS 2nd / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - Cornell CN / 1994 / Tension-band wiring supplemented by lag-screw fixation of proximal humerus fractures: a modified technique / Orthop Rev (Suppl) : 19 ~ 23
[학술지(정기간행물)] - Hintermann B / 2000 / Rigid internal fixation of fractures of the proximal humerus in older patients / J Bone Joint Surg Br 82 (8) : 1107 ~ 1112
[학술지(정기간행물)] - Court-Brown CM / 2006 / Epidemiology of adult fractures : a review / Injury 37 (8) : 691 ~ 697
[학술지(정기간행물)] - Neer CS 2nd / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - Cornell CN / 1994 / Tension-band wiring supplemented by lag-screw fixation of proximal humerus fractures: a modified technique / Orthop Rev (Suppl) : 19 ~ 23
[학술지(정기간행물)] - Hintermann B / 2000 / Rigid internal fixation of fractures of the proximal humerus in older patients / J Bone Joint Surg Br 82 (8) : 1107 ~ 1112
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UCI(KEPA) : I410-ECN-0101-2016-514-001625829