Related Experiment Videos
[Dislocated proximal humerus fracture--results after stabilization with a double plate]
G A Wanner1, J Romero, O Hersche
1Klinik für Unfallchirurgie, Universitätsspital Zürich.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|February 5, 1999
Summary
Open reduction and internal fixation using two one-third tubular plates effectively treated proximal humerus fractures. This surgical approach facilitated early physiotherapy and improved shoulder function in most patients.
Area of Science:
- Orthopedic surgery
- Traumatology
- Biomechanics
Context:
- Displaced proximal humerus fractures are common injuries.
- Surgical intervention is often required for complex fractures.
- Evaluating fixation techniques is crucial for patient outcomes.
Purpose:
- To assess the efficacy of open reduction and internal fixation with dual one-third tubular plates for displaced proximal humerus fractures.
Summary:
- Fifty-seven patients with 2-, 3-, and 4-part proximal humerus fractures underwent fixation with anterior and lateral plates.
- Follow-up in 38 patients (average 16.8 months) showed 32% excellent, 37% good, 21% satisfactory, and 10% unsatisfactory Constant-score results.
- The technique provided high stability, enabling early physiotherapy and return to daily activities.
Impact:
- This fixation method demonstrates good to excellent outcomes for proximal humerus fractures.
- Early rehabilitation is feasible due to the stable construct.
- The study contributes to understanding optimal surgical management for these injuries.