ID | 56931 |
JaLCDOI | |
フルテキストURL | |
著者 |
Hiranaka, Takaaki
Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences
Nishida, Keiichiro
Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences
Konishiike, Taizo
Department of Orthopaedic Surgery, Japanese Red Cross Okayama Hospital
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences
Mikasa, Motohiko
cDepartment of Orthopaedic Surgery, Matsudo Orthopaedic Hospital
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抄録 | The fixation technique of bony fragments is crucial for the bone union of the tuberosities after humeral head replacement (HHR) for a comminuted fracture of the proximal humerus. To increase the bone union rate, we reduce tuberosities to overlap on the humeral shaft by approx. 1 cm and fix them with cable wire. Herein, we retrospectively investigated the clinical and radiographic outcomes of our procedure. Twenty-six patients who underwent cementless HHR for the treatment of comminuted fractures of the proximal humerus were investigated. The Constant-Murley score, active shoulder mobility, and bone union rate were evaluated. The mean duration of follow-up was 56.3 months (range 24-197). At the final follow-up, the average Constant-Murley score was 58 (range 40-76). Forward elevation was 126° on average (range 35°-180°). Twenty-three cases (88%) showed bone union between the tuberosities and the shaft at an average follow-up of 4.1 months (range 4-5 months) after surgery. Non-union was noted in 1 case, and bone resorption was noted in 2 cases. The bone union rate and the clinical outcome of our procedure were relatively favorable
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キーワード | humeral head replacement
tuberosity-overlapping technique
bone union of tuberosities
cable wire
cementless stem
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2019-08
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巻 | 73巻
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号 | 4号
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出版者 | Okayama University Medical School
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開始ページ | 299
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終了ページ | 305
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2019 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID |