上腕骨近位端粉砕骨折に対する手術治療成績

DOI 被引用文献1件 参考文献10件

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タイトル別名
  • Surgical Treatment for Comminuted Fractures of the Proximal Humerus

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We wish to report our experiences with surgical treament of the comminuted proximal humeral fractures and fracture-dislocations. Eighteen patients included nine three-part fracture/dislocations and nine four-part fracture-dislocations. There were four men and fourteen women, average aged 65 years (range 27 to 84 years). Eleven patients had nine three-part and two four-part fracture-dislocations, average aged 59 years, were operated on with osteosynthesis. Seven patients with four-part fracturedislocations average age 75 years, received a hemiarthroplasty. All the patients were evaluated with the JOA score at an averrage follow-up of 34 months. The average active elevation in the patients treated with osteosynthesis was 130°, external rotation was 28° and average JOA score was 85. Avascular necrosis occurred in three patients and non union in one. While the average active elevation in patients who had undergone a hemiarthroplasty was 107°, and external rotation was 25° and average JOA score was 78. In conclusion optimal results can be expected in the younger patients treated early and with a minimal internal fixation, although the results of osteosynthesis in those older patients with valgus intra-articular fracture were poor. Hemiarthroplasty provides a pain free shoulder, however recovery of range of motion and function are limited.

収録刊行物

  • Katakansetsu

    Katakansetsu 23 (3), 405-408, 1999

    Japan Shoulder Society

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