[Results of a differentiated therapy concept for dislocated subcapital humeral fractures in elderly patients].
Between 1990 and 1994 94 patients over 65 years of age with subcapital humeral fractures were treated by plate osteosynthesis combined with a modified postoperative treatment including intensive physical exercise in the early postoperative period. Three months after surgery all osteosynthesis materials were removed using a differentiated treatment of the subacromial area. In the follow-up study 69 of the 94 patients were examined; 22 patients showed an excellent, 26 a good, 9 a satisfactory, and 12 an unsatisfactory result. Thus, we recommend plate osteosynthesis of subcapital humeral fractures in elderly people in combination with our standardized postoperative regimes.
Damanakis
K
K
Klinik für Unfall- und Wiederherstellungschirurgie, Ferdinand-Sauerbruch-Klinikum, Wuppertal.
Schaal
O
O
Mann
J
J
Müller
K H
KH
D000368:Aged; D001860:Bone Plates; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D026741:Physical Therapy Modalities; D012086:Reoperation; D012783:Shoulder Dislocation / Q000601:surgery*; D012784:Shoulder Fractures / Q000601:surgery*; D016896:Treatment Outcome
Ergebnisse eines differenzierten Therapiekonzeptes dislozierter subkapitaler Humerusfrakturen älterer Menschen.