Naslov
Current concepts in proximal humeral fracture treatment

Autori
Čičak, Nikola

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, pp prezentacija, ostalo

Skup
6TH INTERNATIONAL POZNAŃ COURSE IN SHOULDER, ELBOW AND WRIST SURGERY ARTHROSCOPY, ARTHROPLASTY, FRACTURES, REHABILITATION

Mjesto i datum
Poznań, Poljska, 29.03.2012. - 30.03.2012

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
shoulder; fracture; treatment

Sažetak
Proximal humeral fractures represent 5% of all fractures. Most proximal humeral fractures are nondisplaced and should be treated nonoperatively. Displaced and unstable fractures should be treated operatively. The surgeon must understand fracture pattern and regarding surgeon experience use appropriate implant and surgical technique. The main aim is to achieve good primary stabilization and an adequate reduction, especially in osteoporotic bone. Modern implants such as intramedullary proximal humeral nails and angular stable plates provide better biomechanical properties in the osteoporotic bone. These implants allow early rehabilitation with good results with an acceptable complication rate. Main complication is screw perforation of the articular surface. Percutaneous fixation technique is recommend for young patient with good bone quality. Pin loosening and loose of reduction is most often complications. Transosseous suture fixation is an ideal treatment option for isolated displaced tuberosity fracture. The greater tuberosity is the cornerstone of the fracture puzzle ; successful clinical result is dependent of its reduction and healing (Figure 1). In elderly patient with four-part fractures of fracture dislocations and head-split fractures, reverse shoulder prosthesis offers fast recovery with reliable outcome. Hemiarthroplasty remain disappointing because high rate of tuberosity complications and unreliable outcome. The surgeon must be able to switch for alternative method of treatment intraoperativelly if the initial system is an inadequate.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA