کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3107091 1581745 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Fixation of complex proximal humeral fractures in elderly patients with a locking plate: A retrospective analysis of radiographic and clinical outcome and complications
ترجمه فارسی عنوان
تثبیت شکستگی های استخوان بازو پیچیده پروگزیمال در بیماران مسن با صفحه قفل: تجزیه و تحلیل گذشته نگر از نتیجه و عوارض رادیوگرافیک و کلینیکی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

PurposeThe optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as a high rate of complications. Our retrospective study aims to evaluate clinical recovery and complications using the S3 locking plate in elderly patients.MethodsFifty-one patients older than 65 years of age, with a complex proximal humeral fracture type B or C (AO classification system), were included. Patients have been followed up for a minimum of 12 months. We assessed callus formation, radiological results, clinical outcome (according to the Constant Shoulder Score System) and complications. Any difference in the clinical recovery among the 2 types of fracture pattern (B and C) was investigated.ResultsThe mean time of fracture healing was 12.4 weeks. The mean Constant score at 3, 6 and 12 months was 68, 73 and 75 respectively. No statistically significant difference in the clinical outcome was observed between the B and C fracture patterns (p > 0.05). We noticed an overall of 5 complications (9.8%). There was no need to revision any of the implants.ConclusionAnatomic reduction and proper plate positioning are essential for minimizing implant-related complications. In our experience the S3 angular stability system offers a proper osteosyntesis and a good clinical recovery with a low rate of complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Chinese Journal of Traumatology - Volume 19, Issue 3, June 2016, Pages 156–159
نویسندگان
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