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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Percutaneous elastic fixation of proximal humeral fractures: operative indications, techniques, results and complications
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Percutaneous elastic fixation of proximal humeral fractures: operative indications, techniques, results and complications

机译：经皮弹性固定肱骨近端骨折的手术指征，技术，结果和并发症

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摘要

We present a technique of osteosynthesis of proximal humeral fractures using Kirschner wires, assembled in an elastic manner. We report 29 patients (mean age, 68 years) with types II, III and V fractures, according to Neer's classification, treated with closed or open (seldom) reduction and percutaneous pinning. The pin placement was antegrade: the wires started on the epiphysis and aimed at the diaphysis, with the proximal ends fixed with an external clamp and the distal ends crossed and laying on the endosteal surface. Patients were evaluated with the Constant-Murley scale at the end of treatment. Radiological and clinical outcome was satisfactory in all but one patient, in whom the closed reduction was insufficient. Percutaneous elastic pinning is an effective treatment of proximal humeral fractures. If necessary, it should be associated with open reduction.
机译：我们提出了一种以弹性方式组装的使用克氏针的肱骨近端骨折的骨合成技术。根据Neer的分类，我们报告了29例II型，III型和V型骨折的患者（平均年龄68岁），采用闭合或开放（很少）复位和经皮针扎治疗。销钉放置是顺行的：导线从骨the开始并对准骨干，其近端用外部夹具固定，而远端交叉并放置在骨内膜表面。在治疗结束时用Constant-Murley量表对患者进行评估。除一名患者外，所有患者的放射学和临床结果均令人满意，其中闭合复位不足。经皮弹性钉扎术是治疗肱骨近端骨折的有效方法。如有必要，应将其与开式减少量关联。

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