title: [Surgical treatment of proximal humeral fracture involving metaphysis and humeral shaft].
abstract: OBJECTIVE
  To surgically treat proximal humeral fracture involving metaphysis and humeral shaft with long locking plate osteosynthesis.
  
  
  METHODS
  In  the study, 9 proximal humeral fracture cases [6 male patients and 3 female, with an average age of (48.9±11.5) years and the average postoperation  follow-up duration of 21.3 months from 12-46 months] treated with locking plate and with complete follow-up observation from May 2008 to April 2011  were recruited. Visual Analogue Score (VAS), Constant-Murley Score and shoulder range of motion (forward elvation, abduction, internal rotation) were  used to evaluate postoperation shoulder joint function.
  
  
  RESULTS
  All the cases got union of their fractures, without nonunion or delayed union. The  complications were 2 cases with humeral head varus deformity, 1 with wound superficial infection and 1 with postoperation radius nerve paralysis. The  last follow-up functions were that the average VAS was 0.22 (0-1), Constant-Murley score 79.7±6.5 (71-91), the average range of shoulder joint anteflexion  118°±20° (90°-160°), abduction 95°±14° (75°-120°) and internal rotation L1.
  
  
  CONCLUSIONS
  Treatment of proximal humeral fracture with the fracture line  implicating upper humerus metaphysis and humeral shaft is difficult because the medial cortex is injured and the longitudinal fracture line involves bone  shaft. A good selection of operative approach and careful operation guarantee postoperative function restoration.
authors.affiliation: Department of Trauma and Orthopaedics, Peking University People's Hospital, Beijing, China.
authors.forename: Zhong-guo
authors.initials: ZG
authors.lastname: Fu
authors.forename: Chun-gui
authors.initials: CG
authors.lastname: Xu
authors.forename: Hao
authors.initials: H
authors.lastname: Lu
authors.forename: Yu
authors.initials: Y
authors.lastname: Dang
authors.forename: Dian-ying
authors.initials: DY
authors.lastname: Zhang
authors.forename: Bao-guo
authors.initials: BG
authors.lastname: Jiang
mesh_terms: D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology