| 采用PHILOS钢板治疗肱骨近端复杂骨折 |
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| 引用本文： | 陆雄伟,戴力扬,金晨,朱彤,丁勇,胡小鹏.采用PHILOS钢板治疗肱骨近端复杂骨折[J].创伤外科杂志,2009,11(6):497-500. |
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| 作者姓名： | 陆雄伟 戴力扬 金晨 朱彤 丁勇 胡小鹏 |
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| 作者单位： | 上海交通大学医学院附属第三人民医院骨科,上海,201900;上海交通大学医学院附属新华医院骨科,上海,200092 |
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| 摘 要： | 目的评价采用PH ILOS钢板治疗肱骨近端复杂骨折的临床结果。方法2006年1月-2008年6月,我们共收治肱骨近端复杂骨折（Neer分型3部分或4部分）32例,均采用切开复位PH ILOS钢板内固定方法,男性18例,女性14例,单纯跌倒17例,道路交通伤11例,高处跌落4例;平均年龄为53.8岁（25-72岁）,手术时间平均为伤后42小时（18-96小时）。采用肩关节Constant功能评分及肩关节X线片来评价治疗结果。结果平均随访13.6个月（9-33个月）,最后随访时肩关节的Constant评分平均为78.6分（46-96分）。所有骨折均愈合,平均愈合时间为10周（8-17周）。1例肱骨头轻度变形但无临床症状。结论PH ILOS钢板对肱骨近端复杂骨折提供了更为可靠的固定方法,使早期功能锻炼成为可能,从而保证了肩关节功能的恢复。
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| 关 键 词： | 肱骨骨折 肩关节 内固定 |
PHILOS plate system for the treatment of complicated fractures of the proximal humerus |
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| LU Xiong-wei,DAI Li-yang,JIN Chen,et al..PHILOS plate system for the treatment of complicated fractures of the proximal humerus[J].Journal of Traumatic Surgery,2009,11(6):497-500. |
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| Authors: | LU Xiong-wei DAI Li-yang JIN Chen |
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| Institution: | LU Xiong-wei,DAI Li-yang,JIN Chen,et al.(Department of Orthopaedics,Third People's Hospital,Medical College of Shanghai Jiaotong University,Shanghai 201900,China) |
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| Abstract: | Objective To evaluate the clinical results of the treatment of three and four-parts fractures of the proximal humerus using the proximal humeral internal locking system(PHILOS).Methods Between Jan.2006 and Jun.2008,there were 32 patients with displaced three-or four-parts proximal fractures of the humerus treated by using PHILOS plate,18 males,14 females.The mean age was 53.8 years(25 to 72).The data were noted prospectively and the outcomes were assessed using the Constant score and routine x-ray of should... |
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| Keywords: | humerus fracture shoulder joint internal fixation |
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