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Archives of Orthopaedic and Trauma Surgery

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01.05.2010 | Orthopaedic Surgery

Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients

verfasst von: Nico Sosef, Roderick van Leerdam, Pieter Ott, Sven Meylaerts, Steven Rhemrev

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2010

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Abstract

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.

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Titel: Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients
verfasst von: Nico Sosef
Roderick van Leerdam
Pieter Ott
Sven Meylaerts
Steven Rhemrev
Publikationsdatum: 01.05.2010
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 5/2010
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1027-1

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Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients

Abstract

Objective

Patients and methods

Results

Conclusions

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Springer Medizin

Abstract

Objective

Patients and methods

Results

Conclusions

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