지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.3
- 수록면
- 10 - 17 (8page)
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초록· 키워드
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Background: The aim of this study was to assess the clinical outcomes after treatment of proximal humeral fractures with locking plates, and to determine which factors influence the clinical and radiological outcomes.
Methods: Fifty six patients who were treated with locking plates for proximal humeral fractures and had been followed for more than 1 year were enrolled in this study. We performed functional evaluation using the Constant score and analyzed radiographic results. The following factors that may potentially influence the clinical outcomes were assessed: age, gender, type of fracture, presence of medial metaphyseal comminution, bone mineral density, anatomical reduction, restoration of medial mechanical support, and postoperative complications.
Results: The mean Constant score was 70.1 points at the final follow-up. Female gender, 4-part fractures, AO type-C fractures, and fractures with medial metaphyseal comminution were associated with a poor clinical outcome. On the other hand, restoration of medial mechanical support and accurate anatomical reduction had a positive influence on clinical outcomes. Postoperative complications resulted in 3 patients (intra-articular screw perforation: 1 patient, varus deformity with screw loosening: 1 patient, nonunion: 1 patient).
Conclusions: When treating proximal humeral fractures with locking plate fixation, following factors: a female gender, Neer type 4-part fracture, AO type C fracture, and medial metaphyseal comminution are important risk factors that surgeons should take into consideration. Factors that contribute to better clinical outcomes of operative treatment for humeral fractures are accurate anatomical reduction and restoration of medial mechanical support.
Methods: Fifty six patients who were treated with locking plates for proximal humeral fractures and had been followed for more than 1 year were enrolled in this study. We performed functional evaluation using the Constant score and analyzed radiographic results. The following factors that may potentially influence the clinical outcomes were assessed: age, gender, type of fracture, presence of medial metaphyseal comminution, bone mineral density, anatomical reduction, restoration of medial mechanical support, and postoperative complications.
Results: The mean Constant score was 70.1 points at the final follow-up. Female gender, 4-part fractures, AO type-C fractures, and fractures with medial metaphyseal comminution were associated with a poor clinical outcome. On the other hand, restoration of medial mechanical support and accurate anatomical reduction had a positive influence on clinical outcomes. Postoperative complications resulted in 3 patients (intra-articular screw perforation: 1 patient, varus deformity with screw loosening: 1 patient, nonunion: 1 patient).
Conclusions: When treating proximal humeral fractures with locking plate fixation, following factors: a female gender, Neer type 4-part fracture, AO type C fracture, and medial metaphyseal comminution are important risk factors that surgeons should take into consideration. Factors that contribute to better clinical outcomes of operative treatment for humeral fractures are accurate anatomical reduction and restoration of medial mechanical support.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Court-Brown CM / 2006 / Epidemiology of adult fractures : A review / Injury 37 (8) : 691 ~ 697
2. [학술지(정기간행물)] - 오주한 / 2012 / 근위 상완골 골절 치료의 최신 지견 / 대한골절학회지 25 (1) : 94 ~ 104
3. [학술지(정기간행물)] - Baron JA / 1996 / Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age / Epidemiology 7 (6) : 612 ~ 618
4. [학술지(정기간행물)] - Björkenheim JM / 2004 / Internal fixation of proximal humeral fractures with a locking compression plate : a retrospective evaluation of 72 patients followed for a minimum of 1 year / Acta Orthop Scand 75 (6) : 741 ~ 745
5. [학술지(정기간행물)] - Egol KA / 2004 / Biomechanics of locked plates and screws / J Orthop Trauma 18 (8) : 488 ~ 493
2. [학술지(정기간행물)] - 오주한 / 2012 / 근위 상완골 골절 치료의 최신 지견 / 대한골절학회지 25 (1) : 94 ~ 104
3. [학술지(정기간행물)] - Baron JA / 1996 / Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age / Epidemiology 7 (6) : 612 ~ 618
4. [학술지(정기간행물)] - Björkenheim JM / 2004 / Internal fixation of proximal humeral fractures with a locking compression plate : a retrospective evaluation of 72 patients followed for a minimum of 1 year / Acta Orthop Scand 75 (6) : 741 ~ 745
5. [학술지(정기간행물)] - Egol KA / 2004 / Biomechanics of locked plates and screws / J Orthop Trauma 18 (8) : 488 ~ 493
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UCI(KEPA) : I410-ECN-0101-2015-510-002468168