Archives of Orthopaedic and Trauma Surgery

, Volume 130, Issue 5, pp 605–611 | Cite as

Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients

  • Nico SosefEmail author
  • Roderick van Leerdam
  • Pieter Ott
  • Sven Meylaerts
  • Steven Rhemrev
Orthopaedic Surgery



To report on the results of a minimally invasive technique for the fixation of displaced proximal humeral fractures with a locked intramedullary nail.

Patients and methods

All consecutive patients treated with a T2™ intramedullary nail between 2004 and 2007 were evaluated. Thirty-three patients were included [mean age 78, m:f ratio (1:4)]. Fracture characteristics were classified according to AO and Neer (eighteen 2-part, eleven 3-part, five 4-part fractures).


Functional outcome (Constant Score) was excellent in nine, satisfactory in eight and poor in three patients. Subjective outcome was satisfactory to good for patients with 2-part and 3-part fractures but poor for 4-part fractures. Major complications comprised four fixation failures, two cases of impingement and one deep infection.


Minimally invasive fixation of displaced 2-part and 3-part humeral fractures in an elderly population shows satisfactory to excellent results in 80% of patients.


Humeral Proximal PHN Nail T2 Fracture 


Conflict of interest statement

There is no conflict of interest in this study.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Nico Sosef
    • 1
    • 3
    Email author
  • Roderick van Leerdam
    • 1
  • Pieter Ott
    • 2
  • Sven Meylaerts
    • 1
  • Steven Rhemrev
    • 1
  1. 1.Department of SurgeryMedical Center HaaglandenThe HagueThe Netherlands
  2. 2.Department of RadiologyMedical Center HaaglandenThe HagueThe Netherlands
  3. 3.The HagueThe Netherlands

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