支架技术治疗外翻冲击型肱骨近端骨折

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2023-10-30 DOI:10.1097/bto.0000000000000650
Logan Wright, Aimee Struk, Thomas Wright
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引用次数: 0

摘要

目的:描述一种使用微创手术干预治疗外翻冲击肱骨近端骨折的新技术。Kickstand技术是一种新颖的方法,无需额外的硬件即可提供可靠的固定和愈合。材料和方法:回顾性分析了3例外翻冲击型肱骨近端骨折患者,采用同种异体腓骨髓内移植物进行支架技术治疗。介绍了术后x光片和结果。结果:采用Kickstand技术治疗外翻冲击骨折3例。患者A和B术后2年报告活动范围和肩部预后评分,患者C术后1年报告活动范围外旋:28度;主动运动仰角范围:140度;简单肩部测试- 12:11;美国肩部和肘部标准化肩部评估:78)。术后每位患者的Grashey和侧位x线显示外翻撞击肱骨愈合。结论:腓骨髓内同种异体骨支架技术是治疗肱骨近端外翻骨折的一种替代固定技术。它的优点是避免了额外的金属硬件和允许早期运动,但需要使用髓内腓骨同种异体移植物,这可能会干扰未来肱骨假体的使用。
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Kickstand Technique for Treatment of Valgus-Impacted Proximal Humerus Fractures
Purpose: Describe a new technique using a minimally invasive surgical intervention for the treatment of valgus-impacted proximal humerus fractures. The Kickstand technique is a novel approach that offers reliable fixation and union without the need for additional hardware. Materials and Methods: A retrospective case series of 3 patients with valgus-impacted proximal humerus fractures was treated with this Kickstand technique using an intramedullary fibular allograft. Postoperative x-rays and outcomes are presented. Results: The Kickstand technique was used to address valgus-impacted fractures in 3 patients. Postoperative range of motion and shoulder outcome scores were reported at 2 years for patients A and B, and at 1 year for patient C (Active range of motion external rotation: 28 degrees; Active range of motion elevation: 140 degrees; Simple Shoulder Test-12: 11; American Shoulder and Elbow Standardized Shoulder Assessment: 78). Postoperative Grashey and lateral x-rays for each patient show union of the valgus-impacted humerus. Conclusions: The Kickstand technique using intramedullary fibular allograft is an alternative fixation technique for displaced valgus proximal humerus fracture. It has the advantage of avoiding additional metallic hardware and allowing early motion but requires the use of intramedullary fibular allograft which can interfere with future use of stemmed humeral prosthesis.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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