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
- 2017.12
- 수록면
- 208 - 216 (9page)
이용수
초록· 키워드
오류제보하기
Background: This study compared the clinical and radiological outcomes of the single calcar screw plate and Polarus nail techniques for the treatment of the proximal humerus fractures.
Methods: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiological and functional results of both groups were compared to the nail group.
Results: The a angle 1 year after surgery was significantly different between plate 1 and plate 2, and plate 2 and nail groups (p=0.041, p=0.043, respectively). The ratio that does not satisfy the reference value of g angle was 2.8% in plate 1, 7.1% in plate 2 and 22.7% in nail group (p=0.007); there was a significant difference between plate 1 and nail group, and plate 2 and nail group (p=0.014, p=0.033, respectively).
Conclusions: No significant differences were observed in the clinical results between locking plate and Polarus nail. However, in the plate 2 group and nail group, the rate of failure to maintain reduction during the 1-year period after surgery was statistically and significantly higher than the plate 1 group (level of evidence: level IV, case series, treatment study).
Methods: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiological and functional results of both groups were compared to the nail group.
Results: The a angle 1 year after surgery was significantly different between plate 1 and plate 2, and plate 2 and nail groups (p=0.041, p=0.043, respectively). The ratio that does not satisfy the reference value of g angle was 2.8% in plate 1, 7.1% in plate 2 and 22.7% in nail group (p=0.007); there was a significant difference between plate 1 and nail group, and plate 2 and nail group (p=0.014, p=0.033, respectively).
Conclusions: No significant differences were observed in the clinical results between locking plate and Polarus nail. However, in the plate 2 group and nail group, the rate of failure to maintain reduction during the 1-year period after surgery was statistically and significantly higher than the plate 1 group (level of evidence: level IV, case series, treatment study).
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (30)
참고문헌 신청
[학술지(정기간행물)] - Baron JA / 1996 / Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age / Epidemiology 7 (6) : 612 ~ 618
[학술지(정기간행물)] - Kannus P / 2000 / Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970-1998 and alarming projections for the new millennium / Acta Orthop Scand 71 (5) : 465 ~ 470
[학술지(정기간행물)] - Liew AS / 2000 / Effect of screw placement on fixation in the humeral head / J Shoulder Elbow Surg 9 (5) : 423 ~ 426
[학술지(정기간행물)] - Neer CS / 1987 / Displaced proximal humeral fractures. Part I. Classification and evaluation. By Charles S. Neer, I, 1970 / Clin Orthop Relat Res (223) : 3 ~ 10
[학술지(정기간행물)] - Lill H / 2003 / Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens / Arch Orthop Trauma Surg 123 (2-3) : 74 ~ 81
[학술지(정기간행물)] - Kannus P / 2000 / Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970-1998 and alarming projections for the new millennium / Acta Orthop Scand 71 (5) : 465 ~ 470
[학술지(정기간행물)] - Liew AS / 2000 / Effect of screw placement on fixation in the humeral head / J Shoulder Elbow Surg 9 (5) : 423 ~ 426
[학술지(정기간행물)] - Neer CS / 1987 / Displaced proximal humeral fractures. Part I. Classification and evaluation. By Charles S. Neer, I, 1970 / Clin Orthop Relat Res (223) : 3 ~ 10
[학술지(정기간행물)] - Lill H / 2003 / Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens / Arch Orthop Trauma Surg 123 (2-3) : 74 ~ 81
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