Is antegrade nailing a proper option in 2- and 3-part proximal humeral fractures?
Accidental Falls
Adult
Aged
Aged, 80 and over
Bone Nails
/ adverse effects
Bone Screws
/ adverse effects
Female
Follow-Up Studies
Fracture Fixation, Intramedullary
/ instrumentation
Humans
Male
Middle Aged
Osteoporosis
/ complications
Postoperative Complications
/ etiology
Range of Motion, Articular
Reoperation
Retrospective Studies
Severity of Illness Index
Shoulder Fractures
/ diagnostic imaging
Shoulder Impingement Syndrome
/ etiology
Surgical Wound Infection
/ etiology
Treatment Outcome
Fractures
Intramedullary nailing
Outcomes
Proximal humerus
Shoulder
Treatment
Journal
Musculoskeletal surgery
ISSN: 2035-5114
Titre abrégé: Musculoskelet Surg
Pays: Italy
ID NLM: 101498346
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
26
02
2018
accepted:
22
05
2019
pubmed:
12
6
2019
medline:
14
7
2021
entrez:
12
6
2019
Statut:
ppublish
Résumé
To report our experience with antegrade short locked intramedullary nail for treatment of proximal humeral fractures and to review the current literature. From January 2012 to July 2013, 41 patients affected by two and three-part proximal humeral fractures were treated with surgical internal fixation with short locked intramedullary nails. Outcome analysis included standard clinical follow-up, Constant shoulder score and plain radiographs. The mean follow-up was 30 months (range 24-42). Moreover, a review of the literature was carried out. The mean Constant shoulder score was 81.5, excellent functional outcomes in 24/38 patients. All the fractures healed in an average time of 3.7 months. Five patients underwent additional operations, complications included hardware penetration into the joint (n = 2), backed out screw (n = 1), shoulder impingement due to protrusion of the nail (n = 2) and superficial infection (n = 1). The literature review showed 530 patients affected by proximal humeral fracture and treated with intramedullary nail with mean age of 65 years, mean follow-up of 22.2 months and a Constant shoulder score of 72.9 points; the major complications reported were backing out of the screws, shoulder impingement and joint protrusion of the screws. Antegrade short locked intramedullary nail allows stable fixation, minimal soft tissue dissection, early mobilization of the shoulder and good outcomes. It is an efficacious therapeutic solution for 2- and 3-part proximal humeral fractures.
Identifiants
pubmed: 31183680
doi: 10.1007/s12306-019-00610-5
pii: 10.1007/s12306-019-00610-5
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM