pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-915Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESСравнительная оценка результатов лечения пациентов пожилого и старческого возраста с переломами проксимального отдела плечевой костиComparing treatment results of the aged patients with proximal humerus fracturesКостивЕ. П.KostivE. P.plastina@rambler.ruКостивР. Е.KostivR. E.noemail@neicon.ruТихоноваЕ. В.TikhonovaE. V.noemail@neicon.ruКостиваЕ. Е.KostivaE. E.noemail@neicon.ruВладивостокский государственный медицинский университетРоссияVladivostok State Medical UniversityRussian Federation201228092012037074Copyright © Костив Е.П., Костив Р.Е., Тихонова Е.В., Костива Е.Е., 20122012Костив Е.П., Костив Р.Е., Тихонова Е.В., Костива Е.Е.Kostiv E.P., Kostiv R.E., Tikhonova E.V., Kostiva E.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/915

Проведена сравнительная оценка результатов лечения 171 пациента пожилого и старческого возраста с переломами проксимального отдела плечевой кости. В 102 случаях выполнялся внутренний остеосинтез, в 69 случаях проведено консервативное лечение. При оценке через 6-18 мес функциональные результаты оперативного лечения превосходили результаты консервативной терапии. Делается вывод, что внутренний остеосинтез не гарантирует самопроизвольного восстановления функции поврежденной конечности и большую роль здесь играет ранняя реабилитация пациентов. Методом выбора при оперативном лечении переломов являются пластины с угловой стабильностью. При переломах типа С в ряде случаев показана первичная артропластика плечевого сустава.

The paper provides the comparative assessment of treatment results in 171 aged patients with proximal humerus fractures. 102 cases required performing internal locking osteosynthesis. There were 69 cases of conservative treatment. The follow-up carried out in 6-18 months confirmed that the functional results of the surgical procedures have been superior to those of the conservative treatment. Therefore, the internal locking osteosynthesis did not ensure spontaneous recovery of the function of the injured limb. The early rehabilitation of patients is of great importance, first of all. In case of the fracture surgery, the angle stable plates are a method of choice. Some cases of the C type fractures require primary replacement of the shoulder joint.

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The authors declare that there are no conflicts of interest present.