Yonghui Zhao1, Shaoquan Pu2, Hao Yin3, Qian Lü2, Yongqing Xu2, Yueliang Zhu2. 1. Department of Orthopedics, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China;Department of Orthopedics, the First People's Hospital of Yunnan Province/the Affiliated Hospital of Kunming University of Science and Technology, Kunming Yunnan, 650032, P.R.China. 2. Department of Orthopedics, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China. 3. Department of Clinical Medical College of Fudan University, Shanghai, 200032, P.R.China.
Abstract
OBJECTIVE: To investigate the effectiveness of suspensory external fixation technique in treatment of proximal humeral fractures. METHODS: Between August 2013 and October 2018, 14 patients with proximal humeral fractures were treated with suspensory external fixation technique. There were 10 males and 4 females with an average age of 55.9 years (range, 43-76 years). There were 10 cases of falling injury and 4 cases of traffic accident injury. Among them, there were 9 cases of Neer type Ⅲ and 5 cases of Neer type Ⅳ. The time from injury to operation was 3-7 days (mean, 4.6 days). Nine cases were complicated with osteoporosis. The preoperative visual analogue scale (VAS) score was 6.1±1.2. The effectiveness was comprehensively evaluated by hospital stay, fracture healing time, removal time of external fixator, postoperative complications, VAS score, and Neer score of shoulder joint function. RESULTS: All operations were successfully completed, and the hospital stay was 6-14 days, with an average of 9.4 days. All the incisions healed by first intention, and no infection or other complications occurred. All patients were followed up 16-60 months (mean, 35.4 months). X-ray films examination showed that all fractures healed, the healing time was 4-7 months (mean, 4.9 months). The removal time of external fixator was 5-8 months (mean, 6.3 months). VAS scores were 1.5±0.8 at 1 month after operation and 1.0±0.9 at last follow-up, both of which were significantly improved when compared with preoperative score, the differences were significant between different time points ( P<0.05). Neer score of shoulder joint function was 75-100 (mean, 91.1); 9 cases were excellent, 4 cases were good, and 1 case was fair. The excellent and good rate was 92.9%. During follow-up, there was no adverse events such as acromion impingement, nonunion, or pseudoarthrosis. CONCLUSION: For proximal humeral fractures, the suspensory external fixation technique is a simple and reliable treatment method that can significantly improve joint function.
OBJECTIVE: To investigate the effectiveness of suspensory external fixation technique in treatment of proximal humeral fractures. METHODS: Between August 2013 and October 2018, 14 patients with proximal humeral fractures were treated with suspensory external fixation technique. There were 10 males and 4 females with an average age of 55.9 years (range, 43-76 years). There were 10 cases of falling injury and 4 cases of traffic accident injury. Among them, there were 9 cases of Neer type Ⅲ and 5 cases of Neer type Ⅳ. The time from injury to operation was 3-7 days (mean, 4.6 days). Nine cases were complicated with osteoporosis. The preoperative visual analogue scale (VAS) score was 6.1±1.2. The effectiveness was comprehensively evaluated by hospital stay, fracture healing time, removal time of external fixator, postoperative complications, VAS score, and Neer score of shoulder joint function. RESULTS: All operations were successfully completed, and the hospital stay was 6-14 days, with an average of 9.4 days. All the incisions healed by first intention, and no infection or other complications occurred. All patients were followed up 16-60 months (mean, 35.4 months). X-ray films examination showed that all fractures healed, the healing time was 4-7 months (mean, 4.9 months). The removal time of external fixator was 5-8 months (mean, 6.3 months). VAS scores were 1.5±0.8 at 1 month after operation and 1.0±0.9 at last follow-up, both of which were significantly improved when compared with preoperative score, the differences were significant between different time points ( P<0.05). Neer score of shoulder joint function was 75-100 (mean, 91.1); 9 cases were excellent, 4 cases were good, and 1 case was fair. The excellent and good rate was 92.9%. During follow-up, there was no adverse events such as acromion impingement, nonunion, or pseudoarthrosis. CONCLUSION: For proximal humeral fractures, the suspensory external fixation technique is a simple and reliable treatment method that can significantly improve joint function.
Authors: G Konrad; J Bayer; P Hepp; C Voigt; H Oestern; M Kääb; C Luo; M Plecko; K Wendt; W Köstler; N Südkamp Journal: J Bone Joint Surg Am Date: 2010-03 Impact factor: 5.284
Authors: Héctor J Aguado; Juan Mingo; Miguel Torres; Aranzazú Alvarez-Ramos; Miguel A Martín-Ferrero Journal: Injury Date: 2016-09 Impact factor: 2.586
Authors: Juan Agudelo; Matthias Schürmann; Philip Stahel; Peter Helwig; Steven J Morgan; Wolfgang Zechel; Christian Bahrs; Anand Parekh; Bruce Ziran; Allison Williams; Wade Smith Journal: J Orthop Trauma Date: 2007 Nov-Dec Impact factor: 2.512
Authors: Gerard P Slobogean; Herman Johal; Kelly A Lefaivre; Norma J MacIntyre; Sheila Sprague; Taryn Scott; Pierre Guy; Peter A Cripton; Michael McKee; Mohit Bhandari Journal: BMC Musculoskelet Disord Date: 2015-05-10 Impact factor: 2.362