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Minimally Invasive Treatment of Displaced Proximal Humeral Fractures in Patients Older Than 70 Years Using the Humerusblock
المؤلفون المشاركون
Bogner, Robert
Ortmaier, Reinhold
Moroder, Philipp
Karpik, Stefanie
Wutte, Christof
Lederer, Stefan
Auffarth, Alexander
Resch, Herbert
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-11-17
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Surgical treatment of proximal humeral fractures (PHF) in osteoporotic bone of elderly patients is challenging.
The aim of this retrospective study was to evaluate the clinical and radiological outcome after percutaneous reduction and internal fixation of osteoporotic PHF in geriatric patients using the semirigid Humerusblock device.
Methods.
In the study period from 2005 to 2010, 129 patients older than 70 years were enrolled in the study.
After a mean follow-up of 23 months, a physical examination, using the Constant-Murley score and the VAS pain scale, was performed.
Furthermore radiographs were taken to detect signs of malunion, nonunion, and avascular necrosis.
Results.
The recorded Constant-Murley score was 67.7 points (87.7% of the noninjured arm) for two-part fractures, 67.9 points (90.8%) for three-part fractures, and 43.0 points (56.7%) for four-part fractures.
In ten shoulders (7.8%) loss of reduction and in four shoulders (3.1%) nonunion were the reason for revision surgery.
Avascular humeral head necrosis developed in eight patients (6.2%).
Conclusions.
In two- and three-part fractures postoperative results are promising.
Sufficient ability for the activities of daily living was achieved.
In four-part fractures the functional results were less satisfying regarding function and pain with a high postoperative complication rate.
In those patients other treatment strategies should be considered.
Study design.
Therapeutic retrospective case series (evidence-based medicine (EBM) level IV).
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bogner, Robert& Ortmaier, Reinhold& Moroder, Philipp& Karpik, Stefanie& Wutte, Christof& Lederer, Stefan…[et al.]. 2016. Minimally Invasive Treatment of Displaced Proximal Humeral Fractures in Patients Older Than 70 Years Using the Humerusblock. BioMed Research International،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1098487
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bogner, Robert…[et al.]. Minimally Invasive Treatment of Displaced Proximal Humeral Fractures in Patients Older Than 70 Years Using the Humerusblock. BioMed Research International No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1098487
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bogner, Robert& Ortmaier, Reinhold& Moroder, Philipp& Karpik, Stefanie& Wutte, Christof& Lederer, Stefan…[et al.]. Minimally Invasive Treatment of Displaced Proximal Humeral Fractures in Patients Older Than 70 Years Using the Humerusblock. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1098487
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1098487
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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