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肱骨近端骨折的治疗进展 被引量：8

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摘要 肱骨近端骨折是包括肱骨外科颈骨折以远1～2 cm在内及其以上部位的骨折,是常见骨折,国内报道发生率占全身骨折的2.5%[1],国外报道为4%～5%[2],其中大部分为无移位或微小移位的骨折,治疗上多选择保守治疗即可达到愈合。肱骨近端骨折若伴有明显移位,关节脱位以及粉碎性骨折,治疗上比较棘手,在治疗方式的选择上存在争议,既往选择克氏针、骑缝钉以及普通钢板治疗,逐渐发展到应用三叶草钢板、AO'T'形钢板,
作者 刘亚东 李汉湘 胡岚翔 陈虎
机构地区 湖北医药学院附属东风医院骨科.手外
出处 《湖北医药学院学报》 CAS 2012年第5期435-438,共4页 Journal of Hubei University of Medicine
关键词 肱骨近端骨折 治疗 内固定 关节置换
分类号 R687.3 [医药卫生—骨科学]
  • 相关文献

参考文献24

  • 1Sadowski C,,Riand N,Stern R,et al.Fixat ion of fractures of the proximalhumerus with the Plant Tan Humerus Fixator Plate:Early experience witha new implantJournal of Shoulder and Elbow Surgery,2003.
  • 2Koutakis G,Tosounidis T,Galanakis I,et al.Prosthetic re-placement for proximal humeral fracturesInjury,2008.
  • 3Adedapo A O,Ikpeme J O.The results of internal fixation of three- and four-part proximal humeral fractures with the polarus nailInjury,2001.
  • 4Ebraheim NA,Patil V,Husain A.Mini-external fixation of two-and three-partproximal humerus fracturesActa Orthopaedica Belgica,2007.
  • 5王树海.T形外固定架治疗肱骨近端骨折[J].中国骨伤,2006,19(9):521-522. 被引量：5
  • 6卢山明.足蹬拔伸旋转法治疗外展型肱骨外科颈骨折[J].中医正骨,2008,20(3):48-48. 被引量：1
  • 7Hertel R,Hempfing A,Stiehler M, et al.Predictors of humeral head ischemia after intracapsular fracture of the proximal humerusJournal of Shoulder and Elbow Surgery,2004.
  • 8张鹏翼,黄煌渊,陈文钧.肱骨近端骨折的手术治疗进展[J].上海医学,2004,27(12):946-948. 被引量：63
  • 9DM Weinstein,DR Bratton,WJ 2nd Ciccone,JJ Elias.Locking plates improve torsional resistance in the stabilization of three-part proximal humeral fracturesJournal of Shoulder and Elbow Surgery,2006.
  • 10Burton DJ,Wells G,Watters A,et al.Early experience with the PlantTan Fixator Plate for 2 and 3 part fractures of the proximal humerusInjury,2005.

二级参考文献30

  • 1张殿英,杨明,徐海林,傅中国,姜保国.LCP治疗肱骨近端骨折[J].中国矫形外科杂志,2004,12(14):1055-1057. 被引量：42
  • 2Neer CS 2nd.Displaced proximal humeral fractures.I.Classification and evaluation. J Bone Joint Surg Am,1970,52:1077-1089.
  • 3Herscovici D Jr,Saunders DT,Johnson MP,et al.Percutaneous fixation of proximal humeral fractures. Clin Orthop,2000, 375:97-104.
  • 4Takeuchi R,Koshino T,Nakazawa A,et al. Minimally invasive fixation for unstable two-part proximal humeral fractures: surgical techniques and clinical results using j-nails.J Orthop Trauma,2002,16:403-408.
  • 5Williams GR Jr,Wong KL.Two-part and three-part fractures: open reduction and internal fixation versus closed reduction and percutaneous pinning.Orthop Clin North Am,2000,31:1-21.
  • 6Ogawa K,Yoshida A,Inokuchi W.Posterior shoulder dislocation associated with fracture of the humeral anatomic neck: treatment guidelines and long-term outcome.J Trauma,1999,46:318-323.
  • 7Ogawa K,Takahashi M.Long-term outcome of isolated lesser tuberosity fractures of the humerus.J Trauma,1997,42:955-959.
  • 8Kwon BK,Goertzen DJ,O'Brien PJ,et al. Biomechanical evaluation of proximal humeral fracture fixation supplemented with calcium phosphate cement.J Bone Joint Surg Am,2002,84:951-961.
  • 9Matsuda M,Kiyoshige Y,Takagi M,et al. Intramedullary bone-cement fixation for proximal humeral fracture in elderly patients. A report of 5 cases. Acta Orthop Scand, 1999,70:283-285.
  • 10Cameron BD, Williams MD. Operative Fixation of Three-Part Proximal Humerus Fractures. Tech Shoulder Elbow Surg, 2002,3:111-123.

共引文献72

同被引文献74

引证文献8

二级引证文献23

湖北医药学院学报
2012年 第5期

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