{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T05:53:23Z","timestamp":1769752403504,"version":"3.49.0"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"20","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,5,19]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A proximalis humerust\u00f6r\u00e9sek el\u0151fordul\u00e1sa gyakori,\n                    melyben tov\u00e1bbi emelked\u0151 tendencia v\u00e1rhat\u00f3. Az \u00e9rintettek t\u00f6bbs\u00e9ge az id\u0151s\u00f6d\u0151,\n                    ez\u00e1ltal m\u00e1r gyakran gyeng\u00fclt csontszerkezettel rendelkez\u0151 popul\u00e1ci\u00f3b\u00f3l ker\u00fcl ki.\n                    Az elmozdult, t\u00f6bbr\u00e9szes t\u00f6r\u00e9ssel rendelkez\u0151 esetek adekv\u00e1t kezel\u00e9se gyakran\n                    kih\u00edv\u00e1st jelent, k\u00fcl\u00f6n\u00f6sen a m\u00e1r osteoporosis \u00e1ltal is \u00e9rintett felkarfej\n                    eset\u00e9n. M\u0171t\u00e9ti ell\u00e1t\u00e1sa sor\u00e1n a leggyakrabban a sz\u00f6gstabil lemezrendszerekkel\n                    t\u00f6rt\u00e9n\u0151 r\u00f6gz\u00edt\u00e9s haszn\u00e1latos, a komplik\u00e1ci\u00f3k azonban nem elhanyagolhat\u00f3k, az\n                    el\u00e9rt funkcion\u00e1lis eredm\u00e9nyek pedig gyakran szer\u00e9nyek. Az intra-, illetve\n                    posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyek cs\u00f6kkent\u00e9s\u00e9re, illetve a s\u00e9r\u00fcl\u00e9s ut\u00e1ni funkci\u00f3 lehet\u0151\n                    legjobb helyre\u00e1ll\u00edt\u00e1s\u00e1ra az elm\u00falt id\u0151szakban fokozott figyelem fordult.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s \u00e9s m\u00f3dszerek:<\/jats:italic> A valgiz\u00e1l\u00f3 helyzet\u0171 sz\u00f6gstabil\n                    lemezel\u00e9si m\u00f3dszert int\u00e9zet\u00fcnkben 2019 v\u00e9ge \u00f3ta alkalmazzuk a m\u00e1r gyeng\u00fclt\n                    csontszerkezettel rendelkez\u0151 multifragment\u00e1lis felkarfejt\u00f6r\u00e9sek rutinszer\u0171\n                    kezel\u00e9s\u00e9ben. Jelen vizsg\u00e1latunk sor\u00e1n 46, 65 \u00e9v feletti p\u00e1ciens (\u00e9letkor 76,1 \u00b1\n                    7,9 \u00e9v) 47 h\u00e1rom-, illetve n\u00e9gyr\u00e9sz-t\u00f6r\u00e9s\u00e9nek lemezel\u00e9se mellett el\u00e9rt r\u00f6vid\n                    t\u00e1v\u00fa funkcion\u00e1lis eredm\u00e9nyeinket \u00e9rt\u00e9kelt\u00fck retrospekt\u00edv m\u00f3don.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Vizsg\u00e1latunk sor\u00e1n az esetek 76%-\u00e1ban\n                    tapasztaltunk j\u00f3, 120\u00b0 feletti abducti\u00f3s \u00e9s flexi\u00f3s \u00e9rt\u00e9keket. A Constant\u2013Murley\n                    Score \u00f6sszes\u00edtett eredm\u00e9nye 80,2 \u00b1 12,5-nek mutatkozott. A 17,3 \u00b1 9,4 h\u00f3napos\n                    ut\u00e1nk\u00f6vet\u00e9s sor\u00e1n 23 esetben kit\u0171n\u0151, 14-n\u00e9l j\u00f3, 7-n\u00e9l kiel\u00e9g\u00edt\u0151, m\u00edg 3-n\u00e1l\n                    gyenge funkcion\u00e1lis eredm\u00e9nyeket tapasztaltunk. A funkcion\u00e1lis eredm\u00e9nyek\n                    szignifik\u00e1ns kapcsolatot mutattak az \u00e9letkorral (p = 0,009), illetve az\n                    alapbetegs\u00e9gekkel (p = 0,016), azonban a t\u00f6r\u00e9s jelleg\u00e9t\u0151l, a BMI-t\u0151l vagy a\n                    s\u00e9r\u00fclt oldalt\u00f3l f\u00fcggetlennek mutatkoztak. Az \u00f6sszes\u00edtett komplik\u00e1ci\u00f3s r\u00e1t\u00e1t\n                    6,4%-nak, a rev\u00edzi\u00f3s r\u00e1t\u00e1t 4,3%-nak tal\u00e1ltuk. Neurol\u00f3giai deficitet,\n                    pseudoarthrosist vagy avascularis felkarfejnecrosist nem \u00e9szlelt\u00fcnk.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Tapasztalataink szerint az \u00e1ltalunk az\n                    id\u0151skori proximalis humerust\u00f6r\u00e9sek eset\u00e9n alkalmazott valgiz\u00e1l\u00f3 helyzet\u0171\n                    sz\u00f6gstabil lemezes osteosynthesis \u2013 az optimaliz\u00e1lt fej-, illetve lemezhelyzet\n                    miatt \u2013 az esetek t\u00f6bbs\u00e9g\u00e9n\u00e9l kiemelked\u0151en j\u00f3 funkcion\u00e1lis eredm\u00e9nyeket\n                    biztos\u00edt, illetve jelent\u0151sen cs\u00f6kkenti a posztoperat\u00edv komplik\u00e1ci\u00f3k\n                    el\u0151fordul\u00e1s\u00e1t. A m\u00f3dszer kifejezetten j\u00f3l alkalmazhat\u00f3 elmozdult h\u00e1rom-, vagy\n                    n\u00e9gyr\u00e9sz-t\u00f6r\u00e9sek eset\u00e9n, gyeng\u00fclt, osteoporoticus csontszerkezet mellett is. Orv\n                    Hetil. 2024; 165(20): 775\u2013784.<\/jats:p>","DOI":"10.1556\/650.2024.33048","type":"journal-article","created":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T06:39:36Z","timestamp":1716100776000},"page":"775-784","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["Jelent\u0151s funkcion\u00e1lis eredm\u00e9nyek a 65 \u00e9v feletti p\u00e1ciensek t\u00f6bbr\u00e9szes, elmozdult proximalis humerust\u00f6r\u00e9seinek osteosynthesis\u00e9t k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"165","author":[{"given":"M\u00e1t\u00e9","family":"Burkus","sequence":"first","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, chirurgische Orthop\u00e4die, Die Filderklinik GmbH Filderstadt-Bonlanden Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Bruch","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, chirurgische Orthop\u00e4die, Die Filderklinik GmbH Filderstadt-Bonlanden Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva-Maria","family":"Bergmann","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, chirurgische Orthop\u00e4die, Die Filderklinik GmbH Filderstadt-Bonlanden Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krist\u00f3f","family":"J\u00f3zsef","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Gerincgy\u00f3gy\u00e1szati K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munira","family":"Karahodzic-Franjic","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, chirurgische Orthop\u00e4die, Die Filderklinik GmbH Filderstadt-Bonlanden Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marty","family":"Zdichavsky","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, chirurgische Orthop\u00e4die, Die Filderklinik GmbH Filderstadt-Bonlanden Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown CM","year":"2006","unstructured":"1 Court-Brown CM, Caesar B. 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