Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 17
- 试验地点
- 2
- 主要终点
- Patients were evaluated in terms of functional shoulder results and radiographic union
研究概览
简要总结
The investigators tried to evaluate the results of our patients who underwent plate osteosynthesis with vascularized pectoralis major graft for the treatment of 4-part proximal humerus fractures.
详细描述
The risk of avascular necrosis, nonunion, or malunion is high in 4-part fractures which is the most serious form of proximal humerus fracture.Bone impaction grafts are an important treatment option when osteosynthesis with LCP plate is desired especially for osteoporotic patients. Fibular strut grafts (FSGs) and autologous iliac bone impaction grafts (AIBIGs), which are frequently used to provide mechanical support, may have the risk of nonunion in osteoporotic bone whose vascular support is weakened due to fracture. Bone pedicled pectoralis major grafts may prevent varus collapse, nonunion and avascular necrosis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients aged 50-75 years with closed Neer type 4 proximal humerus fractures
排除标准
- •Patients under 50 and over 75 years of age,
- •Patients with pathological fractures,
- •Patients with neurological deficits such as brachial plexus injury
- •Patients with previous shoulder surgery
结局指标
主要结局
Patients were evaluated in terms of functional shoulder results and radiographic union
时间窗: 2 years
Constant and American shoulder and elbow surgeons scores were used for functional assesment
次要结局
未报告次要终点
研究者
Bulent KARSLIOGLU
Orthopedics and Traumatology specialist
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization