Proximal humeral fractures are complex lesions with difficult management problems and so they are a professional struggles for orthopaedic surgeons. In literature a lot of techniques of treatment are proposed for these kind of fractures. In our study we have reviewed 30 patients with a proximal humeral fracture (Neer 2-3) with a mean age of 75 years, treated in our clinic with Polarus nail, with a mean follow-up of 7 years.We obtained 73,3% of good and excellent results, in line with literature results. The complications involved 6 patients (20%) of our study, in particular 3 cases of proximal screw pull-out, 1 case of deep infection and 2 cases of acromioclavicula impingement. The aim of our study is a review of our cases, comparing them with the literature, analysing these kind of complex fractures and the type of treatments.

Il trattamento delle fratture del terzo prossimale di omero mediante chiodo endomidollare "Polarus"

DALL'OCA, Carlo;MALUTA, Tommaso;LEONE, Nicola;Micheloni, Gian Mario;LAVINI, FRANCO
2012

Abstract

Proximal humeral fractures are complex lesions with difficult management problems and so they are a professional struggles for orthopaedic surgeons. In literature a lot of techniques of treatment are proposed for these kind of fractures. In our study we have reviewed 30 patients with a proximal humeral fracture (Neer 2-3) with a mean age of 75 years, treated in our clinic with Polarus nail, with a mean follow-up of 7 years.We obtained 73,3% of good and excellent results, in line with literature results. The complications involved 6 patients (20%) of our study, in particular 3 cases of proximal screw pull-out, 1 case of deep infection and 2 cases of acromioclavicula impingement. The aim of our study is a review of our cases, comparing them with the literature, analysing these kind of complex fractures and the type of treatments.
Proximal humeral fracture; Neer classification; Costant-Murlay score; Intramedullary nail; Polarus; pull-out; augmentation
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11562/473470
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