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[Minimally invasive T-plating at the proximal humerus]
M Fassbender1, G Rothenbacher, C Weschler
1Klinik für Unfall-, Hand- und Orthopädische Chirurgie, Städtisches Klinikum Karlsruhe. ortho-trauma@klinikum-karlsruhe.de
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|June 19, 2008
Summary
Minimally invasive T-plating for proximal humerus fractures yielded medium to adequate results, not proving superior to other osteosynthesis methods. Further research is needed for optimal treatment recommendations.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Optimal surgical treatment for unstable proximal humerus fractures remains undefined.
- This study evaluates a minimally invasive T-plating technique for proximal humerus fractures.
Observation:
- 100 operations on 99 patients using minimally invasive T-plating were analyzed.
- Follow-up assessments utilized the Constant score and DASH score.
Findings:
- The Constant-Murley score averaged 70, indicating medium to satisfactory outcomes.
- The DASH score averaged 32, considered adequate.
- No correlation was found between patient demographics/fracture type and score results.
Implications:
- Minimally invasive T-plating did not meet expectations for superior outcomes.
- The technique's effectiveness is comparable to other osteosynthesis methods, lacking clear advantages.
