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
- 217 - 221 (5page)
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초록· 키워드
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Background: The purpose of this study was to evaluate the clinical and radiographic outcomes of internal fixation with locking T-plates for osteoporotic fractures of the proximal humerus in patients aged 65 years and older.
Methods: From January 2007 through to December 2015, we recruited 47 patients aged 65 years and older with osteoporotic fractures of the proximal humerus. All fractures had been treated using open reduction and internal fixation with a locking T-plate. We classified the fractures in accordance to the Neer classification system; At the final follow-up, the indicators of clinical outcome—the range of motion of the shoulder (flexion, internal rotation, and external rotation) and the presence of postoperative complications—and the indicators of radiographic outcome—the time-to-union and the neck-shaft angle of the proximal humerus—were evaluated. The Paavolainen method was used to grade the level of radiological outcome in the patients.
Results: The mean flexion was 155.0° (range, 90°–180°), the mean internal rotation was T8 (range, T6–L2), and the mean external rotation was 66.8° (range, 30°–80°). Postoperative complications, such as plate impingement, screw loosening, and varus malunion were observed in five patient. We found that all patients achieved bone union, and the mean time-to-union was 13.5 weeks of the treatment. The mean neck-shaft angle was 131.4° at the 6-month follow-up. According to the Paavolainen method, “good” and “fair” radiographic results each accounted for 38 and 9 of the total patients, respectively.
Conclusions: We concluded that locking T-plate fixation leads to satisfactory clinical and radiological outcomes in elderly patients with proximal humeral fractures by providing a larger surface area of contact with the fracture and a more rigid fixation.
Methods: From January 2007 through to December 2015, we recruited 47 patients aged 65 years and older with osteoporotic fractures of the proximal humerus. All fractures had been treated using open reduction and internal fixation with a locking T-plate. We classified the fractures in accordance to the Neer classification system; At the final follow-up, the indicators of clinical outcome—the range of motion of the shoulder (flexion, internal rotation, and external rotation) and the presence of postoperative complications—and the indicators of radiographic outcome—the time-to-union and the neck-shaft angle of the proximal humerus—were evaluated. The Paavolainen method was used to grade the level of radiological outcome in the patients.
Results: The mean flexion was 155.0° (range, 90°–180°), the mean internal rotation was T8 (range, T6–L2), and the mean external rotation was 66.8° (range, 30°–80°). Postoperative complications, such as plate impingement, screw loosening, and varus malunion were observed in five patient. We found that all patients achieved bone union, and the mean time-to-union was 13.5 weeks of the treatment. The mean neck-shaft angle was 131.4° at the 6-month follow-up. According to the Paavolainen method, “good” and “fair” radiographic results each accounted for 38 and 9 of the total patients, respectively.
Conclusions: We concluded that locking T-plate fixation leads to satisfactory clinical and radiological outcomes in elderly patients with proximal humeral fractures by providing a larger surface area of contact with the fracture and a more rigid fixation.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (16)
참고문헌 신청
[학술지(정기간행물)] - Court-Brown CM / 2006 / Epidemiology of adult fractures: a review / Injury 37 (8) : 691 ~ 697
[학술지(정기간행물)] - Palvanen M / 2006 / Parkkari J. Update in the epidemiology of proximal humeral fractures / Clin Orthop Relat Res 442 : 87 ~ 92
[학술지(정기간행물)] - Neer CS / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - 오주한 / 2012 / 근위 상완골 골절 치료의 최신 지견 / 대한골절학회지 25 (1) : 94 ~ 104
[학술지(정기간행물)] - Seide K / 2007 / Locked vs. unlocked plate osteosynthesis of the proximal humerus: a biomechanical study / Clin Biomech 22 (2) : 176 ~ 182
[학술지(정기간행물)] - Palvanen M / 2006 / Parkkari J. Update in the epidemiology of proximal humeral fractures / Clin Orthop Relat Res 442 : 87 ~ 92
[학술지(정기간행물)] - Neer CS / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - 오주한 / 2012 / 근위 상완골 골절 치료의 최신 지견 / 대한골절학회지 25 (1) : 94 ~ 104
[학술지(정기간행물)] - Seide K / 2007 / Locked vs. unlocked plate osteosynthesis of the proximal humerus: a biomechanical study / Clin Biomech 22 (2) : 176 ~ 182
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