上腕骨近位端骨折に対する Multiaxial Fixator Plate の術後成績
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> The purpose of this study was to investigate the outcome of surgical treatment for proximal humerus fractures using Multiaxial Fixator Plates (MF-P).<BR><B>Methods:</B> The study sample involved 9 patients (3 male and 6 female). Their average age at surgery was 67 years old, ranging from 48 to 86. According to Neer classification, there were 3 patients with a 2-part fracture and 6 with a 3-part fracture. The average follow-up period was 2 years and 9 months. The ratio of bone union or avascular necrosis, back-out or perforation of the screw, and varus displacement of the humeral head, the range of motion (ROM) of the shoulder joint, and the Japanese Orthopaedic Association (JOA) score after surgery were evaluated.<BR><B>Results:</B> All patients, who were followed for more than 6 months post-surgery, had bone union within 4 months. Avascular necrosis was not found in any patients after surgery. ROM at final follow-up averaged 123 degrees elevation and 49 degrees external rotation. None of the patients developed impingement by the plate. Perforation of the lag-screw occurred in one patient. Screw back-out was seen in 2 patients, which resulted in varus displacement of the humeral head. The average JOA score was 86 points post-operatively.<BR><B>Conclusion:</B> The results of surgical treatment for proximal humerus fractures using MF-P were satisfactory. However, care must be taken after surgery for patients who have severe osteoporosis and low compliance because these patients have a higher risk of displacement soon after surgery.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
- 肩峰骨折後偽関節, 肩峰骨に対する sliding method の応用
- 肩関節不安定症と肩峰下インピンジメントの症状を呈した三角筋下脂肪腫の１例
- 外傷性肩関節前方不安定症に対する Bankart 法の術前・後の関節症 : 術後5-20年の追跡調査の解析
- 肩峰下滑液包内に発生した pseudomalignant osseous tumor の 1 例
- 陳旧性烏口突起骨折によるインピンジメント症候群：反復性肩関節前方脱臼に合併した１例