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Erschienen in:
01.05.2010 | Orthopaedic Surgery
Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients
Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2010
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Objective
To report on the results of a minimally invasive technique for the fixation of displaced proximal humeral fractures with a locked intramedullary nail.
Patients and methods
All consecutive patients treated with a T2™ intramedullary nail between 2004 and 2007 were evaluated. Thirty-three patients were included [mean age 78, m:f ratio (1:4)]. Fracture characteristics were classified according to AO and Neer (eighteen 2-part, eleven 3-part, five 4-part fractures).
Results
Functional outcome (Constant Score) was excellent in nine, satisfactory in eight and poor in three patients. Subjective outcome was satisfactory to good for patients with 2-part and 3-part fractures but poor for 4-part fractures. Major complications comprised four fixation failures, two cases of impingement and one deep infection.
Conclusions
Minimally invasive fixation of displaced 2-part and 3-part humeral fractures in an elderly population shows satisfactory to excellent results in 80% of patients.