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
- 2014.9
- 수록면
- 120 - 126 (7page)
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초록· 키워드
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Background: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery.
Methods: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively.
Results: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05).
Conclusions: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.
Methods: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively.
Results: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05).
Conclusions: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Kannus P / 2000 / Osteoporotic fractures of the proximal humerus in elderly Finnish persons : sharp increase in 1970-1998 and alarming projections for the new millennium / Acta Orthop Scand 71 (5) : 465 ~ 470
2. [학술지(정기간행물)] - Neer CS 2nd / 1970 / Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement / J Bone Joint Surg Am 52 (6) : 1090 ~ 1103
3. [학술지(정기간행물)] - Murray IR / 2011 / Proximal humeral fractures : current concepts in classification, treatment and outcomes / J Bone Joint Surg Br 93 (1) : 1 ~ 11
4. [학술지(정기간행물)] - Ko JY / 1996 / Surgical treatment of complex fracture of the proximal humerus / Clin Orthop Relat Res (327) : 225 ~ 237
5. [학술지(정기간행물)] - Lanting B / 2008 / Proximal humeral fractures : a systematic review of treatment modalities / J Shoulder Elbow Surg 17 (1) : 42 ~ 54
2. [학술지(정기간행물)] - Neer CS 2nd / 1970 / Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement / J Bone Joint Surg Am 52 (6) : 1090 ~ 1103
3. [학술지(정기간행물)] - Murray IR / 2011 / Proximal humeral fractures : current concepts in classification, treatment and outcomes / J Bone Joint Surg Br 93 (1) : 1 ~ 11
4. [학술지(정기간행물)] - Ko JY / 1996 / Surgical treatment of complex fracture of the proximal humerus / Clin Orthop Relat Res (327) : 225 ~ 237
5. [학술지(정기간행물)] - Lanting B / 2008 / Proximal humeral fractures : a systematic review of treatment modalities / J Shoulder Elbow Surg 17 (1) : 42 ~ 54
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UCI(KEPA) : I410-ECN-0101-2015-510-002768832