Die gekreuzte Schraubenosteosynthese proximaler Humerusfrakturen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-09

AUTHORS

H. Lill, J. Korner, S. Glasmacher, P. Hepp, A. Just, P. Verheyden, C. Josten

ABSTRACT

Between March 1997 and October 1999 thirty-one patients with displaced proximal humeral fractures were treated with crossed screw osteosynthesis. Insertion of the screws was realized by using a deltoideo-pectoral approach placing the screws anteriorly and posteriorly in a crossed manner from the distal fragment into the humeral head. Additionally, in all two-part-fractures a tension band was applied. In all three-part-fractures, the greater tuberosity was reattached by additional screws. In 21 patients (14 female, 7 male, median age 62 years, 18-86) a clinical and radiological follow-up (median 18 months, 10-29) was obtained. Fractures were classified as two-part-fractures in 10 patients and as three-part-fractures in 11 patients. According to the Constant-Score, "excellent" and "good" results were achieved in 15 patients, "moderate" results were found in 3 patients. However, in 3 patients results were only "poor" (1 two-part-, 2 three-part-fractures). The complication rate was 29% (premature hardware removal due to head perforation in 3 cases; humeral head necrosis necessitating prosthetic replacement in 2 patients; secondary displacement in 1 case). Crossed screw osteosynthesis represents an justified alternative in the surgical treatment of displaced proximal humeral fractures permitting early functional therapy. More... »

PAGES

852-859

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001130170057

DOI

http://dx.doi.org/10.1007/s001130170057

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006449472

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11572128


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