整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
当科における上腕骨近位端骨折の保存的治療成績
清水 泰宏中野 哲雄阿部 靖之越智 龍弥清家 一郎
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1999 年 48 巻 2 号 p. 496-501

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We reviewed 25 patients who underwent conservative treatment for proximal humerous fracture. Their average age was 69.2 years, ranging from 34 to 91 years.The follow-up period ranged from 1 month to 41 months, the mean of which was 9 months. Typing was done according to the Neer clssification and clinical assesment according to the Japanese Orthopaedic Association Scoring System (JOA score).
Typing was minimal displacement in 8, Group III-2part in 7, Group IV-2part in 2, Group IV-3part in 6, Group V 3part in 1, and Group VI-3part in 1.
24 patients showed union of the fractures, which 1 case had no union.
The average range of motion was 113.6 degrees flexion, 50.8 degrees externalrotation, and 68.4 degrees internal-rotation. The average JOA score was 77.8. Conservative treatment for proximal humerous fracture is considered to be very useful for elderly patients.

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