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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 38巻1-4号
  1. 部局別インデックス
  2. その他

Surgical outcomes of displaced proximal humeral fractures : antegrade intramedullary nail versus locking plate

http://hdl.handle.net/20.500.12000/0002016913
http://hdl.handle.net/20.500.12000/0002016913
343a9629-4f68-45d0-b5ee-5ac83f62b9f5
名前 / ファイル ライセンス アクション
vol38p61.pdf vol38p61.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2020-11-24
タイトル
タイトル Surgical outcomes of displaced proximal humeral fractures : antegrade intramedullary nail versus locking plate
言語 en
作成者 Goya, Isoya

× Goya, Isoya

en Goya, Isoya

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Yamaguchi, Hiroshi

× Yamaguchi, Hiroshi

en Yamaguchi, Hiroshi

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Toma, Takashi

× Toma, Takashi

en Toma, Takashi

Search repository
Moriyama, Tomohiro

× Moriyama, Tomohiro

en Moriyama, Tomohiro

Search repository
Kanaya, Fuminori

× Kanaya, Fuminori

en Kanaya, Fuminori

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 proximal humeral fractures
主題
言語 en
主題Scheme Other
主題 antegrade intramedullary nails
主題
言語 en
主題Scheme Other
主題 locking plates
主題
言語 en
主題Scheme Other
主題 avascular necrosis
主題
言語 en
主題Scheme Other
主題 varus deformity
内容記述
内容記述タイプ Other
内容記述 This study aimed to compare the postoperative shoulder range of motion (ROM) and complication rates in patients with proximal humeral fractures that were treated with antegrade intramedullary nails or locking plates. Between 2008 and 2016, the shoulders of 108 patients with proximal humeral fractures underwent internal fixation using antegrade intramedullary nails (N group) or locking plates (P group). Of these, 42, 48, and 18 shoulders exhibited two-, three-, and four-part fractures, respectively. For patients with three- or four-part fractures, the mean age in the P group was significantly less compared with that in the N group. The mean operation time, blood loss, and postoperative follow-up period did not significantly differ between the N and P groups. The external rotation of two-part fractures in the N group was significantly better than in the P group. The external rotation of threeand four-part fractures in patients aged 65-74 years was significantly better in the N group than in the P group. For two-part fractures in the N group, forward flexion was better in patients aged <65 years than in those aged ≧65 years. In three- and four-part fractures, forward flexion was better in patients aged 65-74 years than in those aged ≧75 years in the N group, and it was better in patients aged <65 years than in those aged ≧75 years in the P group. In three- and four-part fractures, external rotation was better in patients aged 65-74 years than in those aged ≧75 years in the N group and better in patients aged <65 years than in those aged ≧65 years in the P group. Only one patient with a three-part fracture in the P group exhibited nonunion. Avascular necrosis was more likely to occur in patients with three- and four-part fractures. Varus deformity was likely to frequently occur in patients with two-part fractures in the P group. Surgical treatment of proximal humeral fractures provided comparable clinical results in the N and P groups. Except for external rotation, patients with two-part fractures in the N group showed better outcomes than those in the P group. Moreover, elderly patients exhibited poor ROM.
内容記述
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
出版者
言語 en
出版者 Ryukyu Medical Association
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346-888X
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 38, 号 1-4, p. 61-72
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