PHN for treatment of proximal humerus fractures: evaluation of 80 cases.
This paper analyses 80 cases of displaced proximal humerus fractures, with two or three fragments, treated by PHN nailing. The hold of the spiral blade was effective, and is particularly recommended for fractures with two fragments according to Neer's classification. The results, analysed with Constant's score and radiographic checkups, were satisfactory. Nearly all our patients (76 out of 80) had a mean age of 75 years and a total Constant score of 78.48. Only four (mean age 42.5 years) had a Constant score of 86. Shoulder articulation was good and only a few complications occurred.
Iacobellis
Claudio
C
Orthopaedic and Traumatological Clinic University of Padua, Padua, Italy. claudio.iacobellis@unipd.it
Serafini
Damiano
D
Aldegheri
Roberto
R
D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods* / Q000706:statistics & numerical data; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*