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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 90 - 94 (5page)
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초록· 키워드
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Background: Proximal humerus fracture is considered to be the third most common fracture for patients aged 65 years or older. Conservative treatment has been known to treat most of humerus fracture. However, fractures with severe displacement or dislocation may require surgical treatment. Intramedullary fibular allograft with a locking plate is frequently used in patients accompanying medial metaphyseal disruption. In this study, author intends to evaluate clinical and imaging results based on patients who underwent surgical treatment using fibular allograft with a locking plate.
Methods: This study is conducted prospectively at Wonju Severance Christian Hospital, targeting patients who previously underwent surgical treatment using open reduction and intramedullary fibular allograft with a locking plate between 2011 and 2015. A total of 26 patients were evaluated on the following: postoperational clinical assessment measuring Constant score, American Shoulder and Elbow Society (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Postoperational imaging assessments are evaluated via measuring the neck-shaft angle. The study subject were Neer classification type 3, 4 proximal humerus fracture cases with disrupted medial hinge and having cortical comminution in the region of the surgical neck.
Results: The average period of progression was 22.5 months, and the average age of patients was 72.6 years. At the final follow-up, the average Constant, average ASES, and average DASH scores were 80.1, 78.5, and 20.6 respectively. The average neck-shaft angle was 127.5°.
Conclusions: In conclusion, fibular allograft augmentation with a locking plate showed satisfying results in both clinical and imaging studies.
Methods: This study is conducted prospectively at Wonju Severance Christian Hospital, targeting patients who previously underwent surgical treatment using open reduction and intramedullary fibular allograft with a locking plate between 2011 and 2015. A total of 26 patients were evaluated on the following: postoperational clinical assessment measuring Constant score, American Shoulder and Elbow Society (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Postoperational imaging assessments are evaluated via measuring the neck-shaft angle. The study subject were Neer classification type 3, 4 proximal humerus fracture cases with disrupted medial hinge and having cortical comminution in the region of the surgical neck.
Results: The average period of progression was 22.5 months, and the average age of patients was 72.6 years. At the final follow-up, the average Constant, average ASES, and average DASH scores were 80.1, 78.5, and 20.6 respectively. The average neck-shaft angle was 127.5°.
Conclusions: In conclusion, fibular allograft augmentation with a locking plate showed satisfying results in both clinical and imaging studies.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (24)
참고문헌 신청
[학술지(정기간행물)] - Helmy N / 2006 / New trends in the treatment of proximal humerus fractures / Clin Orthop Relat Res 442 : 100 ~ 108
[학술지(정기간행물)] - Baron JA / 1996 / The epidemiology of peripheral fractures / Bone 18 (3 Suppl) : 209S ~ 213S
[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
[학술지(정기간행물)] - Gaebler C / 2003 / Minimally displaced proximal humeral fractures: epidemiology and outcome in 507 cases / Acta Orthop Scand 74 (5) : 580 ~ 585
[학술지(정기간행물)] - Neer CS / 2006 / Displaced proximal humeral fractures: part I. Classification and evaluation. 1970 / Clin Orthop Relat Res 442 : 77 ~ 82
[학술지(정기간행물)] - Baron JA / 1996 / The epidemiology of peripheral fractures / Bone 18 (3 Suppl) : 209S ~ 213S
[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
[학술지(정기간행물)] - Gaebler C / 2003 / Minimally displaced proximal humeral fractures: epidemiology and outcome in 507 cases / Acta Orthop Scand 74 (5) : 580 ~ 585
[학술지(정기간행물)] - Neer CS / 2006 / Displaced proximal humeral fractures: part I. Classification and evaluation. 1970 / Clin Orthop Relat Res 442 : 77 ~ 82
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UCI(KEPA) : I410-ECN-0101-2018-514-000888822