| 应用肱骨近端内锁定系统治疗高龄肱骨近端骨折 |
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| 引用本文： | 王宇刘欣伟季欣然朱德刚禹宝庆.应用肱骨近端内锁定系统治疗高龄肱骨近端骨折[J].现代生物医学进展,2011,11(4):732-734. |
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| 作者姓名： | 王宇刘欣伟季欣然朱德刚禹宝庆 |
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| 作者单位： | 第二军医大学附属长海医院骨科,上海,200433 |
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| 摘 要： | 目的:探讨应用肱骨近端内锁定系统(PHILOS)治疗高龄肱骨近端骨折的方法及疗效。方法:2007年10月至2010年02月间,我院使用PHILOS内固定钢板治疗高龄肱骨近端骨折45例,男19例,女26例,年龄54～75岁,平均66岁。根据Neer分型,一部分骨折4例,二部分骨折6例,三部分骨折17例,四部分骨折18例。手术采用三角肌钝性劈开入路,保护附着于大骨折块和大、小结节上的软组织,骨折复位后均行PHILOS固定。患肩功能按Neer肩关节评分系统进行评价。结果:本组随访时间10～24个月,平均16个月。骨折均愈合,平均愈合时间3个月。患侧肩关节评分优28例,良12例,可3例,差2例,优良率为88.9%。结论:PHILOS钢板可牢固固定高龄患者骨折,使骨折愈合与功能恢复相同步,适于粉碎性骨折和肱骨近端骨质疏松骨折的治疗。
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| 关 键 词： | 肱骨近端骨折 骨折内固定术 锁定钢板 老年人 |
Proximal Humeral Internal Locking System for Humeral Proximal Fractures
of Elderly Patients |
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| WANG Yu,LIU Xin-wei,JI Xin-ran,ZHU De-gang,YU Bao-qing.Proximal Humeral Internal Locking System for Humeral Proximal Fractures
of Elderly Patients[J].Progress in Modern Biomedicine,2011,11(4):732-734. |
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| Authors: | WANG Yu LIU Xin-wei JI Xin-ran ZHU De-gang YU Bao-qing |
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| Institution: | HOUXiao-Feng1,ZHU Fu-Gao1,SUN Mei-hong2,ZHANG Jun-Yao1,ZHANG Le1(1 Department of Otorhinolaryngology-Head and Neck Surgery,2 Department of Obstetrics,Affiliated Hospital of Medical College of Qingdao University,Qingdao 266003,Shandong,China) |
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| Abstract: | Objective:To investigate the clinical features and the optimal treatment to improve clinical diagnosis and prognosis of external auditory canal cholesteatoma(EACC).Methods:A retrospective study was carried out 30 cases(32ears) with EACC were chosen.12 ears whose lesion located in external auditory canal without bone destruction were cleared the lesion under ear endoscope;10 ears whose lesion located in external auditory canal with extensive bone destruction or stenosis were cleared the cholesteatoma and don... |
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| Keywords: | Cholesteatoma of external auditory canal Mastoid Tympanoplasty Canal plasty |
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