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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
- 95 - 99 (5page)
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초록· 키워드
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Background: The purpose of this study was to investigate the clinical and radiological outcomes of locking plate fixation with fibular strut allograft to manage unstable osteoporotic proximal humerus fractures.
Methods: We retrospectively reviewed 15 patients who underwent open reduction and locking plate fixation with fibular strut allograft for osteoporotic proximal humerus fracture between July 2011 and June 2015. For functional evaluation, we evaluated visual analogue scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and active range of motion. For radiological evaluation, shoulder true anteroposterior (AP) and AP in 20° external rotation, as well as the axillary view were taken at two weeks, six weeks, three months, six months, and one year. And the neck-shaft angle was measured on the AP view in 20° external rotation view.
Results: At the one-year follow-up, mean VAS pain score and all shoulder scores, including ASES score and UCLA shoulder score, exhibited satisfactory clinical outcomes. All patients obtained bone union between three and six months post-procedure. Moreover, the mean immediate postoperative neck-shaft angle was 138° ± 4°, and at one-year follow-up, the neck shaft angle was 137° ± 5°. There was no significant difference between the preoperative and postoperative values (p=0.105).
Conclusions: For the unstable two-part and three-part osteoporotic proximal humerus fractures with medial calcar comminution, the use of fibular strut allograft with locking plate fixation was effective in maintaining the initial status of reduction and exhibiting the satisfactory functional and radiological outcomes.
Methods: We retrospectively reviewed 15 patients who underwent open reduction and locking plate fixation with fibular strut allograft for osteoporotic proximal humerus fracture between July 2011 and June 2015. For functional evaluation, we evaluated visual analogue scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and active range of motion. For radiological evaluation, shoulder true anteroposterior (AP) and AP in 20° external rotation, as well as the axillary view were taken at two weeks, six weeks, three months, six months, and one year. And the neck-shaft angle was measured on the AP view in 20° external rotation view.
Results: At the one-year follow-up, mean VAS pain score and all shoulder scores, including ASES score and UCLA shoulder score, exhibited satisfactory clinical outcomes. All patients obtained bone union between three and six months post-procedure. Moreover, the mean immediate postoperative neck-shaft angle was 138° ± 4°, and at one-year follow-up, the neck shaft angle was 137° ± 5°. There was no significant difference between the preoperative and postoperative values (p=0.105).
Conclusions: For the unstable two-part and three-part osteoporotic proximal humerus fractures with medial calcar comminution, the use of fibular strut allograft with locking plate fixation was effective in maintaining the initial status of reduction and exhibiting the satisfactory functional and radiological outcomes.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (27)
참고문헌 신청
[학술지(정기간행물)] - Court-Brown CM / 2006 / Epidemiology of adult fractures: a review / Injury 37 (8) : 691 ~ 697
[학술지(정기간행물)] - DeFranco MJ / 2006 / Evaluation and management of valgus impacted four-part proximal humerus fractures / Clin Orthop Relat Res 442 : 109 ~ 114
[학술지(정기간행물)] - Maier D / 2014 / Proximal humeral fracture treatment in adults / J Bone Joint Surg Am 96 (3) : 251 ~ 261
[학술지(정기간행물)] - Namdari S / 2012 / Evaluation of the osteoporotic proximal humeral fracture and strategies for structural augmentation during surgical treatment / J Shoulder Elbow Surg 21 (12) : 1787 ~ 1795
[학술지(정기간행물)] - Nho SJ / 2007 / Management of proximal humeral fractures based on current literature / J Bone Joint Surg Am 89 (Suppl 3) : 44 ~ 58
[학술지(정기간행물)] - DeFranco MJ / 2006 / Evaluation and management of valgus impacted four-part proximal humerus fractures / Clin Orthop Relat Res 442 : 109 ~ 114
[학술지(정기간행물)] - Maier D / 2014 / Proximal humeral fracture treatment in adults / J Bone Joint Surg Am 96 (3) : 251 ~ 261
[학술지(정기간행물)] - Namdari S / 2012 / Evaluation of the osteoporotic proximal humeral fracture and strategies for structural augmentation during surgical treatment / J Shoulder Elbow Surg 21 (12) : 1787 ~ 1795
[학술지(정기간행물)] - Nho SJ / 2007 / Management of proximal humeral fractures based on current literature / J Bone Joint Surg Am 89 (Suppl 3) : 44 ~ 58
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UCI(KEPA) : I410-ECN-0101-2018-514-000888837