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
- 222 - 229 (8page)
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초록· 키워드
오류제보하기
Background: The purpose of this study was to investigate the outcomes after fixation using a 3.5-mm locking compression plate (LCP) hook plate for isolated greater tuberosity (GT) fractures of the proximal humerus.
Methods: We evaluated the postoperative radiological and clinical outcomes in nine patients who were followed up at least 1 year with isolated GT fractures. Using the deltopectoral approach, we fixed the displaced GT fragments with a 3.5-mm LCP hook plate (Synthes, West Chester, PA, USA). Depending on the fracture patterns, the hook plate was fixed with or without augmentation using either tension suture or suture anchor fixation.
Results: All the patient showed successful bone union. The mean time-to-union was 11 weeks. The radiological and clinical outcomes at the final follow-up were generally satisfactory. The mean visual analogue scale for pain, the University of California at Los Angeles score, the American Shoulder and Elbow Surgeons score, and the subjective shoulder value were 1.4, 30.3, 84.3, and 82.2%, respectively. The mean active forward flexion, abduction, external rotation, and internal rotation of the shoulder were 156.7°, 152.2°, 61.1°, and the 10th thoracic vertebral level, respectively. Only one patient presented with a postoperative complication of shoulder stiffness. The patient was treated through arthroscopic capsular release on the 5th postoperative month.
Conclusions: We conclude that fixation using 3.5-mm LCP hook plates for isolated GT fractures of the proximal humerus is a useful treatment method that provides satisfactory clinical and radiological outcomes.
Methods: We evaluated the postoperative radiological and clinical outcomes in nine patients who were followed up at least 1 year with isolated GT fractures. Using the deltopectoral approach, we fixed the displaced GT fragments with a 3.5-mm LCP hook plate (Synthes, West Chester, PA, USA). Depending on the fracture patterns, the hook plate was fixed with or without augmentation using either tension suture or suture anchor fixation.
Results: All the patient showed successful bone union. The mean time-to-union was 11 weeks. The radiological and clinical outcomes at the final follow-up were generally satisfactory. The mean visual analogue scale for pain, the University of California at Los Angeles score, the American Shoulder and Elbow Surgeons score, and the subjective shoulder value were 1.4, 30.3, 84.3, and 82.2%, respectively. The mean active forward flexion, abduction, external rotation, and internal rotation of the shoulder were 156.7°, 152.2°, 61.1°, and the 10th thoracic vertebral level, respectively. Only one patient presented with a postoperative complication of shoulder stiffness. The patient was treated through arthroscopic capsular release on the 5th postoperative month.
Conclusions: We conclude that fixation using 3.5-mm LCP hook plates for isolated GT fractures of the proximal humerus is a useful treatment method that provides satisfactory clinical and radiological outcomes.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Green A / 2003 / Isolated fractures of the greater tuberosity of the proximal humerus / J Shoulder Elbow Surg 12 (6) : 641 ~ 649
[학술지(정기간행물)] - Gruson KI / 2008 / Isolated tuberosity fractures of the proximal humeral: current concepts / Injury 39 (3) : 284 ~ 298
[학술지(정기간행물)] - Chen YF / 2013 / AO X-shaped midfoot locking plate to treat displaced isolated greater tuberosity fractures / Orthopedics 36 (8) : e995 ~ e999
[학술지(정기간행물)] - Park SE / 2016 / Arthroscopic-assisted plate fixation for displaced large-sized comminuted greater tuberosity fractures of proximal humerus: a novel surgical technique / Knee Surg Sports Traumatol Arthrosc 24 (12) : 3892 ~ 3898
[학술지(정기간행물)] - Brais G / 2015 / Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures / Injury 46 (6) : 1007 ~ 1012
[학술지(정기간행물)] - Gruson KI / 2008 / Isolated tuberosity fractures of the proximal humeral: current concepts / Injury 39 (3) : 284 ~ 298
[학술지(정기간행물)] - Chen YF / 2013 / AO X-shaped midfoot locking plate to treat displaced isolated greater tuberosity fractures / Orthopedics 36 (8) : e995 ~ e999
[학술지(정기간행물)] - Park SE / 2016 / Arthroscopic-assisted plate fixation for displaced large-sized comminuted greater tuberosity fractures of proximal humerus: a novel surgical technique / Knee Surg Sports Traumatol Arthrosc 24 (12) : 3892 ~ 3898
[학술지(정기간행물)] - Brais G / 2015 / Transosseous braided-tape and double-row fixations are better than tension band for avulsion-type greater tuberosity fractures / Injury 46 (6) : 1007 ~ 1012
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