Intramedullary Wiring of Proximal Humerus Fractures Results of a Minimally Invasive Treatment Concept: Results of a Minimally Invasive Treatment Concept

The treatment of proximal humerus fractures is a matter of continuing scientific discussion. This study presents our results with the use of retrograde intramedullary fixation as a minimally invasive, soft tissue-preserving treatment for two-part and certain three- and four-part fractures of the pro...

Full description

Saved in:
Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2002-08, Vol.28 (4), p.234
Main Authors: Khodadadyan-Klostermann, Cyrus, Raschke, Michael, Steenlage, Eric, Max von Seebach, Melcher, Ingo, Haas, Norbert
Format: Article
Language:English
Subjects:
Arms
Fractures
Medical treatment
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The treatment of proximal humerus fractures is a matter of continuing scientific discussion. This study presents our results with the use of retrograde intramedullary fixation as a minimally invasive, soft tissue-preserving treatment for two-part and certain three- and four-part fractures of the proximal humerus. Patients and Method: Between 01/1994 and 02/1998, 68 consecutive patients with 69 humeral head fractures were stabilized by retrograde intramedullary wiring. Fracture reduction was performed using a closed technique and stabilized with multiple intramedullary wires, which were inserted 2 cm above the olecranon fossa. All study patients had a minimum postoperative follow-up of 12 months. Results: From these 57 follow-up patients 65% had excellent Neer and Constant scores. 25% showed a satisfactory, 10% an unsatisfactory or poor result. Conclusion: Retrograde intramedullary wiring following closed indirect reduction is a minimally invasive treatment technique that preserves soft tissue and is especially useful for treating two- and minimally displaced three- and four-part proximal humerus fractures.
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-002-1154-7