[Proximal humeral fracture].
Fractures of the proximal humerus are very common in elderly people with an increasing incidence. Complex fracture-patterns are observed. For radiological examination x-rays in 2 planes are mandatory. Often an additive CT-scan can be useful for a better understanding of the whole fracture-character. Limits of accepted fracture displacement decrease and reconstructive surgery is induced more frequently. Advantageous are the functional after-treatment and the early reintegration to the activities of daily living after osteosyntheses. Locking nail- and platesystems are competing standard-implants, whereas plate osteosynthesis is preferred in higher-part-fractures. Non-reconstructable fractures should be treated with a primary head replacement, in the form of a reverse prosthesis in patients older than 75 years.
Lill
H
H
Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH Hannover. helmut.lill@ddh-gruppe.de
Voigt
C
C
D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012784:Shoulder Fractures / Q000175:diagnosis / Q000534:rehabilitation* / Q000601:surgery*