TREATMENT OF 3-PART AND 4-PART FRACTURES OF THE PROXIMAL HUMERUS WITH A MODIFIED CLOVERLEAF PLATE

被引：66

作者：

ESSER, RD

机构：

[1] Department of Functional Restoration, Division of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1994年 / 8卷 / 01期

关键词：

DISPLACED FRACTURE; FRACTURE; DISLOCATION OF PROXIMAL HUMERUS; FIXATION; CLOVERLEAF PLATE;

D O I：

10.1097/00005131-199402000-00005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twenty-six patients, ranging in age from 19 to 62 years (average 55), were evaluated an average of 6 years and 2 months (range 1-12 years) after open reduction and internal fixation of a three- or four-part fracture of the proximal humerus using a modified cloverleaf plate. Six patients had an associated dislocation of the humeral head. All fractures healed. No avascular necrosis of the humeral head was observed at follow-up. Twenty-two patients had an excellent result, two a good result, and two a fair result. The modified cloverleaf plate proved to be an excellent method for the treatment of proximal humerus fractures. Open reduction and internal fixation of three- and four-part fractures of the proximal humerus should be considered as initial treatment by an experienced surgeon, even before use of a prosthetic replacement, which is recommended only for elderly patients with osteopenia.

引用

页码：15 / 22

页数：8

共 27 条

[1]

Bandi W., Zur operativen therapie der humeruskopf-und-hals frakturen. H, Unfallheilkund, 196, pp. 38-45, (1976)

[2]

Bigliani L.U., Fractures of the proximal humerus, Fractures in Adults, pp. 871-920, (1991)

[3]

Dines D.M., Altchek D.W., Hemiarthroplasty techniques for proximal humerus fractures, Complications in Orthopaedics, 1, pp. 25-31, (1991)

[4]

Hagg O., Lundberg B.J., Aspects of pronostic factors in comminuted and dislocated proximal humeral fractures, Surgery of the Shoulder, pp. 51-59, (1984)

[5]

Hawkins R.J., Kiefer G.N., Internal fixation techniques for proximal humeral fractures, Clin Orthop, 223, pp. 77-85, (1987)

[6]

Jaberg H., Warner J.P., Jakob R.P., Percutaneous stabilisation of unstable fractures of the humerus, J Bone Joint Surg [Am], 74, (1992)

[7]

Jakob R.P., Miniaci A., Anson P.S., Jaberg H., Osterwalder A., Ganz R., Four-part valgus impacted fractures of the proximal humerus, J Bone and Joint Surg [Br], 73, pp. 295-298, (1991)

[8]

Knight R.A., Mayne J.A., Comminuted fractures and fracture dislocations involving the articular surface of the humeral head, J Bone Joint Surg [Am], 39, (1957)

[9]

Kocialkowski A., Wallace W.A., Closed percutaneous K-wire stabilization for displaced fractures of the surgical neck of the humerus, Injury, 21, (1990)

[10]

Kofoed H., Revascularization of the humeral head, Clin Orthop, 179, (1983)

← 1 2 3 →