The Result of Operative Treatment in Fracture of the Proximal Humerus.
- Author:
Suk Kee TAE
;
Young Bok JUNG
;
Kwang Sup SONG
- Publication Type:Original Article
- Keywords:
Fracture;
Double tension band wiring
- MeSH:
Follow-Up Studies;
Humerus*;
Range of Motion, Articular;
Rehabilitation
- From:The Journal of the Korean Orthopaedic Association
1999;34(5):789-795
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the functional outcome after surgical treatment for displaced fractures of proximal humerus and assess the final results according to surgical methods. MATERIALS AND METHODS: Thirty-three cases with follow-up over 12 months were divided into three groups: double tension band wiring (Group I, 14), plate fixation (Group II, 10) and closed reduction with internal/external fixation (Group III, 9). The pain index, the self-assessed functional score and the range of motion were obtained. RESULTS: Anatomical reduction was best obtained in group II and fractures united in 11-16 weeks. The pain index was worst in group III and the functional score of group I (80+/-12.2%) was higher than in the others (II: 69+/-15.7%, III: 55+/- 7.9%). The range of motion was worst in group III. Complications were noted in 9 cases, which occurred mostly in group II and III. CONCLUSIONS: Double tension band wiring in displaced proximal humerus fracture demonstrated that it provides a sufficient fixation for early rehabilitation and union, while minimizing complication
