title: [Surgical treatment of proximal humeral fractures anatomical plate versus palm tree pinning (26 cases)].
abstract: BACKGROUND
  The aim of this study is to compare functional and radiological results of two surgical techniques in treatment of proximal humeral fractures.
  
  
  METHODS
  A prospective study was performed, which included 12 patients operated for a proximal humeral fracture by open reduction and internal fixation using an anatomical humeral plate, and another group of patient (14 patients) treated for the same lesion using a palm tree pinning technique of Kapandji. The comparison of results of the two techniques was based on three parameters: the time of healing, quality of reduction, and the functional result. The global mean age was 48.6 (±13,7), and the sex ratio (M/W) was 1.
  
  
  RESULTS
  Statistical analysis of functional and radiological results showed no superiority of one technique over another; so the mean time of healing was 6.1 (± 0.7) weeks in the group treated by plate, and 6 (± 0.7) weeks in the group treated by pinning (P=0.5), the mean absolute Constant score was respectively 86 (±10.4) and 90.92 (±2.5) (P=0.09), and the mean measuring of cephalic angle was respectively 46.91 (±17.68) and 55.71 (±19.48) (P=0.24).
  
  
  CONCLUSIONS
  Univariate analysis showed no statistically significant association between endpoints and the two surgical techniques studied. Therefore the study showed no statistical superiority of one surgical technique over another.
authors: Service de chirurgie ostéoarticulaire B4, CHU Hassan II, Fès, Maroc. elidrissitraumato@hotmail.fr
authors: M
authors: M
authors: Elidrissi
authors: S
authors: S
authors: Bensaad
authors: M
authors: M
authors: Shimi
authors: A
authors: A
authors: Elibrahimi
authors: A
authors: A
authors: Elmrini
mesh_terms: D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome