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肱骨近端骨折分型的意义及发展变化

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肱骨近端骨折是一种常见的骨折类型,通常可采用非手术治疗或手术治疗.明确肱骨近端骨折分型可以对骨折进行归类,有助于对骨折的认识、指导临床治疗的选择以及预后的判断,同时也有利于不同治疗方法所得到的结果之间相互比较.本文对经典Neer分型、AO/OTA分型及其他分型的利弊进行详细描述并介绍了北京积水潭医院创伤骨科对于肱骨近端骨折移位的判断标准,以期加深对肱骨近端骨折形态的理解,协助指导临床决策的制定及预后的判断.
Significance and development of proximal humeral fracture classification
Proximal humeral fracture(PHF)is a common fracture type and either conservative or surgical treatment can be performed.To clarify the classification of PHF can help distinguish various subtypes of PHF,which promotes understanding of this fracture,guides clinical treatment choices,and aids in prognosis judgment.It also fa-cilitates outcome comparison achieved by different treatment strategies.This article provides a detailed description of the advantages and disadvantages of the classic Neer classification,AO/OTA classification,and other classifications for PHF,and introduces the criteria used by the Department of Orthopedics and Traumatology at Beijing Jishuitan Hospital to determine the displacement of PHF.This article aims to strengthen the surgeons'understanding of PHF morphology and to assist in guiding clinical decision-making and prognosis prediction.

Proximal humeral fracturesClassificationDisplacement

黄强、米萌、蒋协远

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首都医科大学附属北京积水潭医院创伤骨科,北京 102208

肱骨近端骨折 分型 移位

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(7)
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