上腕骨近位端骨折に対する順行性直線型髄内釘法による治療―短頚タイプにおける注意点―

概要

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For proximal humeral fractures with osteoporosis, we performed internal fixation with an antegrade straight interlocking nail (Targon PH), and had good results via rigid stabilization. The purpose of the present study was to evaluate the therapeutic results and to examine the peculiarity and the surgical technique of this implant. Twenty four patients were treated with this implant. Six months after the surgery, they had flexion of 153 degree, external rotation of 63 degree, and internal rotation of Th11, on average. The mean JOA score was 95.2 points. The Targon PH nail had straight shape and four interlocking screws, each was placed at a different level of the humeral head. Thus, early physiotherapy is allowed even in osteopotic patients via rigid stabilization. We believe that it is important to reduce the displacement exactly, to decide the suitable entry point, and to repair the rotator cuff certainly.
日本肩関節学会の論文