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DOI: 10.1055/s-2003-42296
© Georg Thieme Verlag Stuttgart · New York
Intramedullary Nailing of Proximal Humeral Fractures: Clinical Results of a Prospective Study
Publikationsverlauf
Publikationsdatum:
24. September 2003 (online)
Abstract
Controversy persists concerning the preferred treatment of displaced fractures of the proximal part of the humerus. The present study was undertaken to evaluate the results of intramedullary nailing of these fractures with the Targon PH nail. Between May 2000 and February 2002 we have treated 98 patients with this nail. After 12 months we found good results (Constant-Murley score: 78.4). Compared to the literature we conclude that intramedullary nailing of proximal humeral fractures is a good alternative to other osteosynthesis techniques in this anatomical region.
Key words
Proximal humeral fracture - intramedullary nailing - angular stability
References
- 1 Ambacher T, Erli H J, Paar O. Behandlungsergebnisse nach primärer Hemialloarthroplastik bei dislozierten Humeruskopffrakturen. Zentralbl Chir. 2000; 125 750-755
- 2 Boss A, Hintermann B. Primäre Versorgung der Humeruskopftrümmerfraktur beim älteren Patienten mit einer Kopfprothese. Unfallchirurg. 1997; 100 867-873
- 3 Chen C Y, Chao E K, Tu Y K, Ueng S W, Shih C H. Closed management and percutaneous fixation of unstable proximal humerus fractures. J Trauma. 1998; 45 1039-1045
- 4 Hart R, Janecek M, Bucek M. Treatment of displaced fractures of the proximal humerus. Osteo Trauma Care. 2002; 10 68-75
- 5 Koestler W, Strohm P C, Sudkamp N P. Neue Osteosyntheseverfahren am Humerus. Chirurg. 2002; 73 969-977
- 6 Kwon B K, Goertzen D J, O'Brien P J, Broekhuyse H M, Oxland T R. Biomechanical evaluation of proximal humeral fracture fixation supplemented with calcium phosphate cement. J Bone Joint Surg [Am]. 2002; 84 951-961
- 7 Quidwai S. Treatment of proximal humeral fractures by intramedullary Kirschner wires. J Trauma. 2001; 50 1090-1095
- 8 Resch H, Povacz P, Frohlich R, Wambacher M. Percutaneous fixation of three- and four-part fractures of the proximal humerus. J Bone Joint Surg [Br]. 1997; 79 295-300
- 9 Trupka A, Wiedemann E, Ruchholtz S, Brunner U, Habermeyer P, Schweiberer L. Dislozierte Mehrfragmentfrakturen des Humeruskopfes. Bedeutet die Luxation des Kopffragments eine Prognoseverschlechterung?. Unfallchirurg. 1997; 100 105-110
- 10 Wachtl S, Marti C, Hoogewoud H, Gautier E, Jakob R. Treatment of proximal humeral fracture with Prévot nails. J Bone Joint Surg [Br]. 1999; 81 167-176
PD Dr. Wolfgang Linhart
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie
Universitätsklinikum Hamburg-Eppendorf
Martinistraße 52
20246 Hamburg
Germany
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eMail: linhart@uke.uni-hamburg.de