当科における上腕骨近位端骨折に対する観血的治療

概要

論文の詳細を見る
We studied 76 patients (43 males, 33 females) who required surgical intervention for proximal humerus fractures at Fukuoka University between 1994 and 2005. The medical records and plain radiographs were reviewed. The mean age was 54.2 years old. The mean follow-up period was 54 months (range 15-92 months). Each fracture was classified according to the Neer classification. The Japanese Orthopaedic Associations (JOA) shoulder score was used to assess the functional outcome. Our strategy for displaced proximal humerus fractures was fundamentally plate osteosynthesis. Other osteosynthesis procedures included 4 retrograde K-wire fixations and 3 interlocking intramedurally nails for 2-part surgical neck fracture, 6 tension band wiring and/or screwing for 2-part greater tuberosity fracture. In 3- and 4-part fracture/ fracture dislocation for the more than 60 years old, we chose a humeral head replacement. Union occurred in all cases except 1 which required a humeral head replacement. The majority of patients were satisfied with the postoperative functional results. 17 complications during the follow-up period included 10 contractures, 2 axillary nerve palsy, 2 complex regional pain syndrome, 1 K-wire backout, 1 varus deformity of the humeral head and 1 non-union.
日本肩関節学会の論文