| 肱骨近端内固定锁定系统结合可注射型人工骨治疗高龄肱骨近端骨折 |
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投稿时间：2009-12-18
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| 期刊信息：《中国骨伤》2010年，第23卷，第3期，第180-182页 |
| DOI：10.3969/j.issn.1003-0034.2010.03.009 |
| 基金项目: |
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中文摘要:
目的：探讨应用肱骨近端内固定锁定系统(PHILOS)结合可注射型人工骨治疗高龄肱骨近端骨折的临床疗效。
方法：回顾性分析2007年3月至2009年3月收治的高龄肱骨近端骨折17例，男7例，女10例；年龄66～81岁，平均71岁。受伤原因：摔伤9例，车祸伤7例，重物砸伤1例。右侧12例，左侧5例。按Neer分型：Ⅲ型9例，Ⅳ型8例。均采用PHILOS钢板结合可注射型人工骨治疗。采用Constant-Murley肩关节评分标准，对患者健侧患侧肩关节进行评分，并对疗效进行评价。
结果：本组病例均获随访，时间8～25个月，平均16个月。全部病例获得骨性愈合，愈合时间2.5～3.5个月，平均3个月。未发生深部感染、骨不连、内固定失效等并发症。患侧评分75～95分，平均(86.50±10.50)分。优9例，良6例，可2例。
结论：PHILOS钢板结合可注射型人工骨植骨治疗高龄肱骨近端骨折，适用于肱骨近端骨质疏松、粉碎性骨折的治疗。 |
| 【关键词】肱骨骨折 骨折固定术 骨折愈合 老年人 |
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| Application of PHILOS plate with injectable artificial bone for the treatment of proximal humeral fractures in elderly patients |
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ABSTRACT
Objective: To investigate the clinical effects of PHILOS plate with injectable artificial bone for the treatment of proximal humeral fractures in elderly patients.
Methods: From March 2007 to March 2009,17 patients who suffered from proximal humeral fractures were retrospectively studied. There were 7 males,10 females,with an average age of 71 years (ranged,66 to 81 years). Nine patients were caused by falling,seven patients were caused by traffic accidents,and one patient was hit by heavy object. According to the Neer classification,9 patients were type Ⅲ and 8 patients were type Ⅳ。 All the patients were treated with PHILOS plate internal fixation combined with injectable artificial bone. Assessment was based on the Constan-Murley shoulder score and percentage Constant-Murley score.
Results: The mean period of follow-up was 16 months (ranged,8 to 25 months). All the patients obtained bone union in an average of 3 months(2.5 to 3.5 months). There were no complications such as deep infection,nonunion or failure of fixation. The Constant-Murley score of the injured side was mean(86.50±10.50)(ranged,75 to 95). The clinical outcomes were excellent in 9 cases,good in 6 cases,moderate in 2 cases.
Conclusion: The treatment of proximal humeral fractures in elderly patients with application of PHILOS plate combined with injectable artificial bone can get satisfactory clinical effect especially suitable for osteoporosis and comminuted proximal humeral fractures. |
| KEY WORDS Humeral fractures Fracture fixation Fracture healing Aged |
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| 中文格式: | 刘欣伟,付青格,许硕贵,张春才,苏佳灿,王攀峰,赵东风,李玉红.肱骨近端内固定锁定系统结合可注射型人工骨治疗高龄肱骨近端骨折[J].中国骨伤,2010,23(3):180~182 |
| 英文格式: | LIU Xin-wei,FU Qing-ge,XU Shuo-gui,ZHANG Chun-cai,SU Jia-can,WANG Pan-feng,ZHAO Dong-feng,LI Yu-hong.Application of PHILOS plate with injectable artificial bone for the treatment of proximal humeral fractures in elderly patients[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(3):180~182 |
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