Internal fixation of complex fractures of the proximal humerus

Internal fixation of complex fractures of the proximal humerus.

We treated 34 consecutive articular fractures of the proximal humerus in 33 patients with good bone quality by open reduction and internal fixation. Anatomical or nearly anatomical reduction was achieved in 30, at a mean follow-up of 63 months (25 to 131), complete or partial avascular necrosis had occurred in 12 cases (35%). Two patients subsequently underwent arthroplasty and six further pati...

Open reduction internal fixation of proximal humerus fractures.

The treatment of proximal humerus fractures continues to evolve. While the many of these injuries can be managed nonoperatively, a certain percentage require operative treatment. Open reduction internal fixation can offer excellent outcomes when performed in the appropriate patient and utilizing proper techniques. This article reviews the most up-to-date literature regarding all phases of proxi...

Open Reduction Internal Fixation Four-part Proximal Humerus Fractures

Nail Fixation of Proximal Humerus Fractures

Proximal humerus (PH) fractures are among the most fracture types. Surgery is indicated in displaced fractures. The charge-book for surgical management of PH fractures is restoring PH anatomy, obtaining stable osteosynthesis, and conserving PH vascularization. Proximal humerus nailing is an osteosynthesis technique we have been using since 2000. Our initial indication for using a nail for PH fr...

DISPLACED- COMMINUTED INTRAARTICULAR FRACTURES OF THE ADULT DISTAL HUMERUS: FUNCTIONAL RESULTS AFTER INTERNAL FIXATION

Background: Intra-articular T- type or Y- type fractures of the distal end of the humerus are relatively rare, and consequently few surgeons will be able to attain extensive experience with the surgical treatment of these injuries. The current emphasis is on operative intervention with rigid internal fixation and early mobilization. Methods: In this prospective and retrospective study, we r...