[Humerus head resection as therapy of compound fracture of the upper arm--results].
Proximal humeral fractures are frequent injuries in older patients. Most of these fractures respond satisfactorily to conservative treatment. Problems arise in cases of four-part displacements and in head-splitting fractures with massive defects in the articular surface. Between 1970 to 1988 eight patients were treated in our clinic in this situation by resection of the humeral head. 6 patients could be followed-up for an average of 69 months. Postoperative findings showed a restricted range of motion in all operated shoulders. The average abduction of the arm was 60 degrees (40-80 degrees) and elevation 60 degrees (40-80 degrees). The patients showed a mean external rotation of 17 degrees (5-30 degrees) and an internal rotation of 48 degrees (5-90 degrees). Only one patient was painless, 2 patients had pain during the night, and 3 patients suffered from various pain symptoms. Nevertheless 5 of 6 patients assessed the result as satisfactory and one patient as good.
Skruodies
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Abteilung für Unfallchirurgie, Chirurgische Universitätsklinik Hamburg-Eppendorf.
Wening
J V
JV
Jungbluth
K H
KH
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012783:Shoulder Dislocation / Q000601:surgery; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
Humeruskopfresektion als Therapie bei Oberarmkopftrümmerfrakturen--Ergebnisse.