頁籤選單縮合
題名 | Intramedullary Pinning with Tension-Band Wiring for Surgical Neck Fractures of the Proximal Humerus in Elderly Patients=老年人之近端肱骨骨折以髓內釘合併張力帶鋼絲治療之結果 |
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作者姓名(中文) | 盧政昌; 張明維; 林高田; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 20:11 2004.11[民93.11] |
頁次 | 頁538-545 |
分類號 | 416.26 |
關鍵詞 | 近端肱骨外科頸骨折; 髓內鋼釘合併張力帶鋼絲治療; Surgical neck fractures of proximal humerus; Intramedullary pinning with tension-band wiring; |
語文 | 英文(English) |
中文摘要 | 老年來之近端肱骨外科頸骨折大多數是因骨質疏鬆所引起的。針對這種類型的骨折已經有許多的治療方式被提出。這篇研究的目的在於使用髓內鋼釘合併張力帶鋼絲固定之方式來治療老年人之近端肱骨外科頸骨折。從1998年六月到2001年三月,我們收集了10名有移位性之近端肱骨外科頸骨折的老年婦女,平均年齡為73.0歲,平均追蹤時間為20.6個月。其中4名病人其結果為優良,5名病人為良好,1名病人為普通。平均之Constant分數為80.8分,而VAS分數為83.0分。在本研究中,沒有病人發生骨折未癒合,缺血性壞死,感染或鋼釘移位,也沒有病人需要再度的實施開刀復位內固定或是人工關節置換。我們總結使用髓內鋼釘合併張力帶鋼絲之方式來治療老年人之近端肱骨外科頸骨折是一個安全,可靠,很少併發症的治療方式。 |
英文摘要 | Most proximal humeral fractures in the elderly population are related to osteoporosis. Several methods have been proposed to treat surgical neck fractures of the proximal humerus in elderly people. This study investigates a new method of intramedullary pinning with tension-band wiring. From June 1998 to March 2001, 10 female patients with a mean age of 73.0 years and displaced two or three-part surgical neck fractures of the proximal humerus were studied. Two intramedullary pins were used with tension-band wiring via a deltopectoral approach with minimum dissection. The mean follow-up was 20.6 months. Final outcome was evaluated using the constant score, visual analog scale (VAS) score, questionnaire, and an outcome assessment form. The outcome was excellent in four patients, good in five, and fair in one. The mean Constant score was 80.8 and the VAS score was 83.0. There was no nonunion, avascular necrosis, deep infection, or pin migration. No patient needed further revision open reduction with internal fixation or prosthesis replacement. We therefore concluded that intramedullary pinning with tension-band wiring is a safe, reliable method, with few complications, for treating surgical neck fractures of the proximal humerus in elderly patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。