OBJECTIVE: To report on the results of a minimally invasive technique for the fixation of displaced proximal humeral fractures with a locked intramedullary nail. PATIENTS AND METHODS: All consecutive patients treated with a T2 intramedullary nail between 2004 and 2007 were evaluated. Thirty-three patients were included [mean age 78, m:f ratio (1:4)]. Fracture characteristics were classified according to AO and Neer (eighteen 2-part, eleven 3-part, five 4-part fractures). RESULTS: Functional outcome (Constant Score) was excellent in nine, satisfactory in eight and poor in three patients. Subjective outcome was satisfactory to good for patients with 2-part and 3-part fractures but poor for 4-part fractures. Major complications comprised four fixation failures, two cases of impingement and one deep infection. CONCLUSIONS: Minimally invasive fixation of displaced 2-part and 3-part humeral fractures in an elderly population shows satisfactory to excellent results in 80% of patients.
OBJECTIVE: To report on the results of a minimally invasive technique for the fixation of displaced proximal humeral fractures with a locked intramedullary nail. PATIENTS AND METHODS: All consecutive patients treated with a T2 intramedullary nail between 2004 and 2007 were evaluated. Thirty-three patients were included [mean age 78, m:f ratio (1:4)]. Fracture characteristics were classified according to AO and Neer (eighteen 2-part, eleven 3-part, five 4-part fractures). RESULTS: Functional outcome (Constant Score) was excellent in nine, satisfactory in eight and poor in three patients. Subjective outcome was satisfactory to good for patients with 2-part and 3-part fractures but poor for 4-part fractures. Major complications comprised four fixation failures, two cases of impingement and one deep infection. CONCLUSIONS: Minimally invasive fixation of displaced 2-part and 3-part humeral fractures in an elderly population shows satisfactory to excellent results in 80% of patients.
Authors: Stefan Quadlbauer; Georg J Hofmann; Martin Leixnering; Rudolf Rosenauer; Thomas Hausner; Jürgen Reichetseder Journal: Int Orthop Date: 2018-02-13 Impact factor: 3.075
Authors: Levon Doursounian; Anthony Le Sant; Raphael Mauprivez; Anne Miquel; Violaine Beauthier-Landauer Journal: Int Orthop Date: 2016-01-21 Impact factor: 3.075