Subscribe to RSS
DOI: 10.1055/s-2002-33825
Nailing of Articular and Extraarticular Fractures of the Head of the Humerus
Publication History
Publication Date:
11 September 2002 (online)
Abstract
Surgical treatment of the fractures of the head of the humerus is still a subject for controversial discussion. If a conservative strategy is not indicated, intramedullary nailing (Targon PH) must be considered. In a prospective study 15 patients (45-80 years) suffering from a fracture of the head of the humerus (A3-C2, AO Classification) were treated with a Targon PH nail. Postoperative mobility in a 16-week follow-up was excellent. Nailing with this new kind of intramedullary stabilization using screws of angle-rigid construction in the humerus head and so sparing vascularisation and adjacent soft-tissue cover can be an alternative to other more invasive procedures.
Key words
Fracture - head of the humerus - nailing
References
- 1 Boileau P, Trojani C, Walch G, Krishnan S G, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg. 2001; 10 299-308
- 2 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
- 3 Cornell C N, Levine D, Pagnani M J. Internal fixation of proximal humerus fractures using the screw-tension band technique. J Orthop Trauma. 1994; 8 23-27
- 4 Damanakis K, Schaal O, Mann J, Muller K H. Modified treatment concept in fractures of the humeral head in elderly patients. Unfallchirurg. 1996; 99 561-568
- 5 Imhoff M, Sadr I, Lehner J H, Hasse F M, Gahr R H. Drill wire osteosynthesis in subcapital humerus fractures: percutaneous or open. Aktuelle Traumatol. 1992; 22 65-71
- 6 Kohler A, Simmen H P, Duff C, Kach K, Trentz O. Osteosynthesis of subcapital humerus fractures with unconventional use of implants. Swiss Surg. 1995; 2 114-117
- 7 Lill H, Lange K, Prasse-Badde J, Schmidt A, Verheyden P, Echtermeyer V. T-plate osteosynthesis in dislocated proximal humerus fractures. Unfallchirurgie. 1997; 23 183-190 discussion 191-192
- 8 Naranja R J, Iannotti J P. Displaced three- and four-part proximal humerus fractures: evaluation and management. J Am Acad Orthop Surg. 2000; 8 373-382
- 9 Rommens P M, Heyvaert G. Conservative treatment of subcapital humerus fractures. A comparative study of the classical Desault bandage and the new Gilchrist bandage. Unfallchirurgie. 1993; 19 114-118
- 10 Ruch D S, Glisson R R, Marr A W, Russell G B, Nunley J A. Fixation of three-part proximal humeral fractures: a biomechanical evaluation. J Orthop Trauma. 2000; 14 36-40
- 11 Siebenrock K A, Gerber C. Classification of fractures and problems in proximal humeral fractures. Orthopäde. 1992; 21 98-105
- 12 Szyszkowitz R, Schippinger G. Fractures of the proximal humerus. Unfallchirurg. 1999; 102 422-428
- 13 Weber E, Matter P. Surgical treatment of proximal humerus fractures - international multicenter study. Swiss Surg. 1998; 4 95-100
Ralf Eisele M.D.
Department of Traumatology, Hand and Reconstructive Surgery
Universtity of Ulm
Steinhövelstr. 9
89075 Ulm
Germany
Phone: +49/7 31/50 02 73 35
Fax: +49/7 31/50 02 73 49
Email: ralf.eisele@medizin.uni-ulm.de