Internal fixation of proximal humeral fractures with a Polarus humeral nail

Abstract

Background Proximal humeral fractures occur frequently. Displaced or unstable fractures require open reduction and internal fixation. Our objective was to investigate the clinical and radiographic results of the internal fixation using Polarus humeral nails for fractures of the proximal humerus. Materials and methods From

Surgical treatment of displaced proximal humerus fractures with a short intramedullary nail

“…The only paper thus far to evaluate both radiographic and clinical outcomes found 79% good to excellent results, with 8% incidence each of varus malunion and greater tuberosity malalignment. 9 Unfortunately, the authors report clinical outcomes using only the Japanese Orthopaedic Association score, which is unfamiliar to many surgeons. We used several standardized, globally accepted validated shoulder instruments to report clinical outcomes (Constant score, ASES, and SST).…”

Outcome Assessment of Operative Treatment of Humeral Shaft Fractures by Antegrade Unreamed Humeral Nailing (UHN)

“…Koike et al [16] evaluated the clinical and radiographic results of the intra-medullary nailing retrospectively and the mean operation time was 84 min (range 54-114 min). In comparison with mentioned studies, our technique can significantly reduce the operating time of nail insertion in patients with humeral shaft fractures (P<0.05).…”

PHN for treatment of proximal humerus fractures: evaluation of 80 cases

“…Several authors recommend surgery with an endomedullary nail as the treatment of choice in displaced fractures with two or three fragments according to Neer's classification, in that it is a good compromise between minimally invasive treatment and the insertion of a plate, reserved for younger patients. The literature contains reports of endomedullary nailing with proximal screw locking [1,2,5,7,8] or wires [4,6]. Proximal humerus nailing, used in our cases and mentioned in recent literature [9][10][11][12], has a proximal locking mechanism with a spiral blade.…”