Treatment of proxlmal humeral fractures with Cable-needle internal implant cerclage T-shaped compression fixation of tuberosity during humeral prosthesis replacement
- VernacularTitle:肱骨假体置换Cable-needle内置式环扎"T"形加压固定大小结节治疗肱骨近端骨折
- Author:
Zhongguo FU
;
Baoguo JIANG
;
Dianying ZHANG
;
Jing ZHOU
- Publication Type:Journal Article
- Keywords:
Shoulder fractures;
Shoulder dislocation;
Arthroplasty,replacement;
T-shaped compression fixation
- From:
Chinese Journal of Trauma
2008;24(10):799-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effect of tuberosity reduction and fixation during humeral head replacement for treatment of complex proximal humeral fractures on functional recovery of the shoul-der ioint and on decrease and prevention of complieaitons. Methods From January 2004 to August 2007,42 elderly patients(at average age of 78.5 years)with three-or four-part fractures and dislocations of proximal humerus received humeral head replacement.Cable-needle interual implant cerclage T-shape compression fixation was done in 14 patients.classic Dacron needle fixation in 13 and classic Dacron nee-die fixation plus metal band extemal implant cerclage fixation in 15.Postoperative exercises were carried out according to Neer's rehabilitation principles. Results All patients were reviewed with the Ameri-can Shoulder and Elbew Surgeons(ASES)score at the mean follow.up of 8 months postoperatively.Sta-tisticaI difierence of ASES score was found between the postoperative iniured shoulder and the preoperative ipsilateral side as well as the uninjured side.Tuberosity complication was found postoperatively at X-P in ll patients including 5 with absorption of tuberosity.4 with lateral displacement(2 posterior-lateral posi-tion and 2 anterior lateral position)and 2 with supra.subluxation of the head of prosthesis. Conclu-sions Cable-needle internaI implant cerclage T-shape compression fixation during humeral head replace-ment is better than other two methods and brings about earlier postoperative rehabilitation.which is help-ful for functional recovery of the shoulder as soon as possible.prevention of tuberosity complications and improvement of shoulder funotion rehabilitation level.
