Operative Treatment Using Minimized Internal Fixation and Tension Band Technique on Proximal Humeral Fracture

1998 ◽  
Vol 33 (7) ◽  
pp. 1852 ◽  
Author(s):  
Jin Hyung Sung ◽  
Weon Yoo Kim ◽  
Chang Whan Han ◽  
Jae Duk Ryu ◽  
Han Seok Son ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Operative Treatment ◽  
Proximal Humeral Fracture ◽  
Humeral Fracture ◽  
Tension Band ◽  
Tension Band Technique

scholarly journals Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Wei Zhao ◽  
Yuhui Zhang ◽  
Dongni Johansson ◽  
Xingyu Chen ◽  
Fang Zheng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humeral Fracture ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Open Reduction Internal Fixation ◽  
Elder Patients

Objective. The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Method. PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration’s Review Manage 5.2. Results. A total of 630 patients from 8 publications were included in the systematic review and meta-analysis. The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. Concerning complications, no significant difference was seen between MIPO and ORIF. Conclusion. The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients.

scholarly journals Characteristics and management of iatrogenic proximal humeral fracture during manual reduction of shoulder dislocation

2019 ◽  
Author(s):  
Yan Zhou ◽  
Jianghua Ming ◽  
Shiqing Liu
Keyword(s):  
Internal Fixation ◽  
Revision Surgery ◽  
Shoulder Dislocation ◽  
Functional Outcomes ◽  
Proximal Humeral Fracture ◽  
Humeral Fracture ◽  
Anterior Shoulder Dislocation ◽  
Manual Reduction ◽  
The Mean ◽  
First Time

Abstract Purpose This study aimed to investigate the characteristics, management and patient outcomes of iatrogenic proximal humeral fracture during manual reduction of shoulder dislocation. Methods A retrospective chart review from January 2014 to June 2017 identified 10 patients of iatrogenic proximal humeral fracture during shoulder dislocation reduction. The sex and age of patients, associated injuries and location, first-time or habitual shoulder dislocation, the type of anesthesia, the time from injury to revision surgery as well as functional outcomes were analyzed. Results There were 1 male and 9 females (female/male ratio 9:1) with an average age of 66.9 years (range, 50-77 years). All patients presented with first-time anterior shoulder dislocation, and 7 patients (70%) associated with greater tuberosity fractures (GTF). Four patients (40%) underwent reduction under general anesthesia and 6 reduction (60%) under propofol sedation. The revision surgery was performed by open reduction and internal fixation. The mean follow-up period was 18.2 months (range, 12–36 months). The mean visual analog score (VAS) was 3.0 ± 1.6 (range, 1-6), and the mean Neer scores were 82.1 ± 6.5 (range, 71-93). Significant differences were observed in the Neer score and VAS with the time (more or less 8 h) from injury to revision surgery (P < 0.05). Conclusion A high risk of iatrogenic proximal humeral fracture is present in first-time anterior shoulder dislocation with GTF in senile female. Effective reduction and internal fixation performed timely may help to improve functional outcomes in case of iatrogenic injury.

A Clinical Analysis on Operative Treatment of Displaced Proximal Humeral Fracture

1988 ◽  
Vol 23 (1) ◽  
pp. 225
Author(s):  
Chang Soo Kang ◽  
Young Sik Pyun ◽  
Chul Soo Sung ◽  
Soon Bong Ko ◽  
Goo Tae Kang
Keyword(s):  
Operative Treatment ◽  
Proximal Humeral Fracture ◽  
Humeral Fracture ◽  
Clinical Analysis
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