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Patologia organelor de locomoţie. Sistemul osos şi locomotor (469) |
SM ISO690:2012 CHIRILĂ, Vitalie, OSTAHI, Ştefan, TCACIOV, Igor, MIRONICĂ, Ion. Tratamentul chirurgical al fracturilor-luxații ale extremității humerale proximale. In: Sănătate Publică, Economie şi Management în Medicină , 2017, nr. 2(72), pp. 33-37. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 2(72) / 2017 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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CZU: 616.717.4-001.5-089 | ||||||
Pag. 33-37 | ||||||
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According to this article, fractures of proximal humerus represent 4-5% of all fractures of the body, while fracture-dislocation of this region being complex lesion have an increased propensity for developing avascular necrosis of the humeral head, nonunion and modest functional outcomes. The study is an examination of a total sample of 79 patients with proximal humeral fractures, from which 27 patients are with fracture-dislocation of proximal humerus, aged between 20-80 years, predominant being affected patients from age group 56-70 years. To solve proximal humerus fracture-dislocation, in study were used three types of implants that ensured us good outcomes in 57,l4%, represent 72 points according to Constant and Murley Score; 33,33% of patients who have presented at the control had satisfactory results showing a score of 68 points; in 9,52% of patients the results were unsatisfactory, with develop- ments of avascular necrosis of the humeral head. Final outcomes are similar to the results described in the literature, which show us that the treatment tactics is chosen correctly. |
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Cuvinte-cheie proximal humerus, locked plates, fixation with K-wires and ten- sion band |
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<?xml version='1.0' encoding='utf-8'?> <oai_dc:dc xmlns:dc='http://purl.org/dc/elements/1.1/' xmlns:oai_dc='http://www.openarchives.org/OAI/2.0/oai_dc/' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xsi:schemaLocation='http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd'> <dc:creator>Chirilă, V.</dc:creator> <dc:creator>Ostahi, .</dc:creator> <dc:creator>Tcaciov, I.</dc:creator> <dc:creator>Mironică, I.</dc:creator> <dc:date>2017-08-22</dc:date> <dc:description xml:lang='en'>According to this article, fractures of proximal humerus represent 4-5% of all fractures of the body, while fracture-dislocation of this region being complex lesion have an increased propensity for developing avascular necrosis of the humeral head, nonunion and modest functional outcomes. The study is an examination of a total sample of 79 patients with proximal humeral fractures, from which 27 patients are with fracture-dislocation of proximal humerus, aged between 20-80 years, predominant being affected patients from age group 56-70 years. To solve proximal humerus fracture-dislocation, in study were used three types of implants that ensured us good outcomes in 57,l4%, represent 72 points according to Constant and Murley Score; 33,33% of patients who have presented at the control had satisfactory results showing a score of 68 points; in 9,52% of patients the results were unsatisfactory, with develop- ments of avascular necrosis of the humeral head. Final outcomes are similar to the results described in the literature, which show us that the treatment tactics is chosen correctly. </dc:description> <dc:description xml:lang='ru'>Согласно статье, переломы проксимального отдела плечевой кости составляют 4-5% из всех переломов конечностей, а переломы- дислокации региона - это сложные травмы и имеют повышенную склонность к асептическому некрозу головки плечевой кости, к несращению и скромным функциональным результатам на расстоянии. Исследование включает 79 пациентов с переломами проксимального отдела плеча, из которых 27 пациентов с перелом-вывихом епиметафиза проксимального отдела плечевой кости, в возрасте от 20 до 80 лет, преобладают пострадавшие пациенты возрастной группы 56-70лет. Для решения переломов-вывихов проксимального отдела плечевой кости, в исследовании мы использовали три типа имплантатов, что обеспечило хорошие результаты на расстоянии в 57,14%, что составляет 72 пункта по шкале Constant и Murley; 33,33% пациентов которые пришли на контроль имели удовлетворительные результаты, показывающие 68 баллов; у 9,52% пациентов результат был неудовлетворительным, с развитием асептического некроза головки плечевой кости. Функциональные результаты на расстоянии аналогичны результатам, описанным в литературе, и свидетельствуют о том, что выбранная тактика лечения правильная. </dc:description> <dc:source>Sănătate Publică, Economie şi Management în Medicină 72 (2) 33-37</dc:source> <dc:subject>proximal humerus</dc:subject> <dc:subject>locked plates</dc:subject> <dc:subject>fixation with K-wires and ten- sion band</dc:subject> <dc:title>Tratamentul chirurgical al fracturilor-luxații ale extremității humerale proximale</dc:title> <dc:type>info:eu-repo/semantics/article</dc:type> </oai_dc:dc>