지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: The purpose of this study was to evaluate the usefulness and safety of the anterosuperior deltoid splitting approach for fixation of displaced proximal humeral fractures by analyzing the surgical outcomes.
Methods: Twenty-three patients who could be followed-up for at least 8 months after the treatment of displaced proximal humeral fractures through the anterosuperior deltoid splitting approach were enrolled. We evaluated the reduction of the fractures and surgery-related complications at the last follow-up using X-ray results and clinical outcomes comprising the University of California at Los Angeles (UCLA) scoring system and the Korean Shoulder Society (KSS) score.
Results: At the last follow-up of patients treated using the anterosuperior deltoid splitting approach for internal fixation of proximal humeral fractures, we found 22 cases (95.6%) of bone union, a mean UCLA score of 28.3 (range, 15 to 34) and a mean KSS score of 82.1 (range, 67 to 95). Various surgery-related complications were noted; a case of varus malunion after fracture displacement, a case of nonunion, a case of delayed union, two cases of impingement, and a case of partial axillary nerve injury, which recovered completely through the follow-up.
Conclusions: Plate fixation using the anterosuperior deltoid splitting approach could be another reliable option for treating displaced proximal humeral fractures.
Methods: Twenty-three patients who could be followed-up for at least 8 months after the treatment of displaced proximal humeral fractures through the anterosuperior deltoid splitting approach were enrolled. We evaluated the reduction of the fractures and surgery-related complications at the last follow-up using X-ray results and clinical outcomes comprising the University of California at Los Angeles (UCLA) scoring system and the Korean Shoulder Society (KSS) score.
Results: At the last follow-up of patients treated using the anterosuperior deltoid splitting approach for internal fixation of proximal humeral fractures, we found 22 cases (95.6%) of bone union, a mean UCLA score of 28.3 (range, 15 to 34) and a mean KSS score of 82.1 (range, 67 to 95). Various surgery-related complications were noted; a case of varus malunion after fracture displacement, a case of nonunion, a case of delayed union, two cases of impingement, and a case of partial axillary nerve injury, which recovered completely through the follow-up.
Conclusions: Plate fixation using the anterosuperior deltoid splitting approach could be another reliable option for treating displaced proximal humeral fractures.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Baron JA / 1996 / The epidemiology of peripheral fractures / Bone 18 (3 Suppl) : 209S ~ 213S
2. [학술지(정기간행물)] - Depalma AF / 1961 / Fractures of the upper end of the humerus / Clin Orthop 20 : 73 ~ 93
3. [학술지(정기간행물)] - Ring D / 2007 / Current concepts in plate and screw fixation of osteoporotic proximal humerus fractures / Injury 38 (Suppl 3) : S59 ~ 68
4. [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
5. [학술지(정기간행물)] - Constant CR / 1987 / A clinical method of functional assessment of the shoulder / Clin Orthop Relat Res 214 : 160 ~ 164
2. [학술지(정기간행물)] - Depalma AF / 1961 / Fractures of the upper end of the humerus / Clin Orthop 20 : 73 ~ 93
3. [학술지(정기간행물)] - Ring D / 2007 / Current concepts in plate and screw fixation of osteoporotic proximal humerus fractures / Injury 38 (Suppl 3) : S59 ~ 68
4. [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
5. [학술지(정기간행물)] - Constant CR / 1987 / A clinical method of functional assessment of the shoulder / Clin Orthop Relat Res 214 : 160 ~ 164
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UCI(KEPA) : I410-ECN-0101-2016-514-001299690