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616.717.4-001.5-089 (2) |
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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Rezumat | ||||||
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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