Minimal invasive fixation of proximal humeral fractures with an intramedullary nail: good results in elderly patients
- 291 Downloads
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.
KeywordsHumeral Proximal PHN Nail T2 Fracture
Conflict of interest statement
There is no conflict of interest in this study.
- 3.Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 160–164Google Scholar
- 5.Diercks RL (2003) Proximale humerus fracturen: prothese of osteosynthese? Ned Tijdschr Trauma 6:158–164Google Scholar
- 11.Handoll HHG, Gibson JNA, Madhok R (2003) Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev CD000434Google Scholar