کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4094432 1268461 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Four-Part Fractures of the Proximal Humerus: Open Reduction and Internal Fixation versus Hemiarthroplasty
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Four-Part Fractures of the Proximal Humerus: Open Reduction and Internal Fixation versus Hemiarthroplasty
چکیده انگلیسی
One of the more challenging issues in upper extremity surgery is the four-part proximal humeral fracture. Humeral fractures of this variety carry a higher risk of avascular necrosis and associated worse prognosis than many others. Despite this risk, this fracture in younger patients is best treated with internal fixation and restoration of anatomic alignment. The valgus impacted fracture often lends itself toward better outcomes with open reduction and internal fixation. In contrast, the displaced four-part proximal humeral fracture and/or dislocation, more frequently seen in the elderly, is best treated with humeral head replacement, which more predictably results in a pain-free shoulder and acceptable range of motion.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Arthroplasty - Volume 19, Issue 1, March 2008, Pages 45-49
نویسندگان
, ,