지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.9
- 수록면
- 136 - 143 (8page)
이용수
초록· 키워드
오류제보하기
Background: The purpose of this study was to investigate the clinical differences between open reduction and plate fixation via a deltopectoral approach with allogenous fibular bone graft and a minimally invasive plate osteosynthesis (MIPO), in Neer’s classification two-, three- part proximal humeral fractures.
Methods: In this retrospective study, 77 patients with two-, three-part proximal humeral fractures were treated at two different institutions. Clinical and radiological evaluations were performed in 39 patients, who underwent MIPO at one institution (group A), and 38 patients, who underwent a deltopectoral approach with allo-fibular bone graft (group B) at another institution. The results between the groups were compared.
Results: The MIPO technique was significantly less time consuming and caused less bleeding than the deltopectoral approach with allo-fibular bone graft (P<0.05). The duration of the fracture union was significantly reduced in group A (14.5±3.4; range, 10–22 weeks) compared to group B (16.4±4.3; range, 12–28) weeks (P<0.05). There were no statistically significant differences between the two groups when evaluating the visual analog scale and Constant scores between the two groups, 1 year postoperatively. In radiological evaluation, there was no difference in radiological outcomes between the two groups. There were no statistically significant differences in malunion between the two groups.
Conclusions: The MIPO technique and deltopectoral approach with allo-fibular bone graft for two-, three-part proximal humeral fractures, show similar clinical and radiological results. However, allogenous fibular grafts require longer surgery, cause more bleeding, and result in longer fracture healing time than MIPO technique.
Methods: In this retrospective study, 77 patients with two-, three-part proximal humeral fractures were treated at two different institutions. Clinical and radiological evaluations were performed in 39 patients, who underwent MIPO at one institution (group A), and 38 patients, who underwent a deltopectoral approach with allo-fibular bone graft (group B) at another institution. The results between the groups were compared.
Results: The MIPO technique was significantly less time consuming and caused less bleeding than the deltopectoral approach with allo-fibular bone graft (P<0.05). The duration of the fracture union was significantly reduced in group A (14.5±3.4; range, 10–22 weeks) compared to group B (16.4±4.3; range, 12–28) weeks (P<0.05). There were no statistically significant differences between the two groups when evaluating the visual analog scale and Constant scores between the two groups, 1 year postoperatively. In radiological evaluation, there was no difference in radiological outcomes between the two groups. There were no statistically significant differences in malunion between the two groups.
Conclusions: The MIPO technique and deltopectoral approach with allo-fibular bone graft for two-, three-part proximal humeral fractures, show similar clinical and radiological results. However, allogenous fibular grafts require longer surgery, cause more bleeding, and result in longer fracture healing time than MIPO technique.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
Horak J / 1975 / Epidemiology of fracture of the upper end of the humerus / Clin Orthop Relat Res (112):250~253
Gaebler C / 2003 / Minimally displaced proximal humeral fractures : epidemiology and outcome in 507 cases / Acta Orthop Scand 74:580~585
Pinkas D / 2014 / Management of malunion of the proximal humerus : current concepts / J Am Acad Orthop Surg 22:491~502
Hirschmann MT / 2011 / Clinical longer-term results after internal fixation of proximal humerus fractures with a locking compression plate(PHILOS) / J Orthop Trauma 25:286~293
Panchal K / 2016 / Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft / Int Orthop 40:569~577
Gaebler C / 2003 / Minimally displaced proximal humeral fractures : epidemiology and outcome in 507 cases / Acta Orthop Scand 74:580~585
Pinkas D / 2014 / Management of malunion of the proximal humerus : current concepts / J Am Acad Orthop Surg 22:491~502
Hirschmann MT / 2011 / Clinical longer-term results after internal fixation of proximal humerus fractures with a locking compression plate(PHILOS) / J Orthop Trauma 25:286~293
Panchal K / 2016 / Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft / Int Orthop 40:569~577
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Clinical and radiological outcomes of unstable proximal humeral fractures treated with fibular strut allograft and proximal humerus locking plate
대한견주관절의학회 학술대회논문집
2015 .04
-
Outcomes of fixation using locking pate and fibular head strut allograft for comminuted proximal humeral fractures
대한견주관절의학회 학술대회논문집
2021 .03
-
상완골 간부 골절(AO Type A, B1, B2)에서 최소 침습적 금속판 고정술과 고식적인 관혈적 금속판 고정술의 비교
대한골절학회지
2017 .01
-
The optimal fibular strut bone graft angle for unstable proximal humerus fractures: A finite element analysis
대한견주관절의학회 학술대회논문집
2022 .04
-
Analysis of Radiological and Clinical Results in Treatment of Open Segmented Tibia Fractures: A Comparison between Intramedullary Nailing and Minimal Invasive Plate Osteosynthesis
Journal of trauma and injury : JTI
2016 .01
-
Biomechanical study of Proximal humeral fracture fixation: Locking plate with medial support scrw vs. locking plate with intramedullary fibular graft
대한견주관절의학회 학술대회논문집
2022 .04
-
Whatever Your Preference Is for the Treatment of the Proximal Humeral Fracture
대한견주관절의학회지
2017 .12
-
쇄골 간부 분쇄 골절에서 최소 침습 금속판 고정술의 유용성 : 고식적 수술법과 비교
대한정형외과학회지
2017 .10
-
The Outcomes of Proximal Humerus Fractures with Medial Metaphyseal Disruption Treated with Fibular Allograft Augmentation and Locking Plate
대한견주관절의학회지
2017 .06
-
A prospective cohort study: promising results with minimally invasive plate osteosynthesis of anterior bridge plating in adult humeral shaft fractures
대한견주관절의학회지
2024 .12
-
Preventing Varus Deformity in Senile Patients with Proximal Humerus Fractures and Poor Medial Support
대한견주관절의학회지
2016 .12
-
Proximal humeral fracture --- Four -segment classification revisited
대한견주관절의학회 학술대회논문집
2017 .03
-
Surgical Trends in Elderly Patients with Proximal Humeral Fractures in South Korea : A Population-based Study
대한견주관절의학회 학술대회논문집
2019 .03
-
Operative Treatment with Intramedullary Fibular Strut Allograft for Osteoporotic Proximal Humerus Fracture
대한견주관절의학회지
2017 .06
-
Free Vascularized Fibular Strut Autografts to the Lumbar Spine in Complex Revision Surgery: A Report of Two Cases
Neurospine
2015 .01
-
원위 경골 골절 치료에서 최소 침습적 금속판과골수강내 금속정 고정술의 비교
대한골절학회지
2018 .01
-
Internal Fixation with a Locking T-Plate for Proximal Humeral Fractures in Patients Aged 65 Years and Older
대한견주관절의학회지
2017 .12
-
Philos 금속판을 이용한 상완골 근위부 골절의 내고정 : Fibular allograft로 보강한 경우와의 단기 방사선학적 비교 연구
대한견주관절의학회 학술대회논문집
2015 .04
-
How Can We Improve Crown-Implant Ratio in Reconstructed Mandible with Fibular Free Flap?: A New Surgical Technique Using 3D RP Model and Reconstruction Titanium Plates
Journal of International Society for Simulation Surgery
2017 .01
-
Inter-rater agreement among shoulder surgeons on treatment options for proximal humeral fractures among shoulder surgeons
대한견주관절의학회지
2022 .03
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2020-514-001168419