Treatment of Two-Part Fracture of Humerus Neck Using T Plate Fixation

Nam, Il-Hyun; Ahn, Gil-Yeong; Yun, Ho-Hyun; Kim, Jae-Cheol; Moon, Gi-Hyuk

doi:10.5397/cise.2006.9.1.034

Cited by 1 publication

(1 citation statement)

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“…수술적 치료 방법으로 골 봉합법, K-강선 고정술 및 긴장대 술식, 금속판 및 나사못 고정 술, 골수강 내 고정술 등의 다양한 방법들이 시도되고 있으나 6,7,19,22,27,33) , 아직 최선의 치료 방법에 대해서는 이 견이 많으며, 그 결과도 다양하게 보고되고 있다 24) . 그 중 잠김 금속판은 고식적인 금속판에 비해 골절편 의 혈액 공급을 보존할 수 있고, 초기 견고한 각 안정 성 및 회전 안정성을 얻을 수 있어 조기에 관절 운동을 가능하게 하는 장점이 있어 최근 임상적으로 많이 사용 되고 있다 11,32) .…”

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Internal Fixation of Proximal Humerus Fracture with Locking Compression Plate

Park¹,

Park²,

Seo³

2009

The Journal of the Korean Shoulder and Elbow Society

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Purpose:We assessed the radiographic and clinical results of one surgeon's experience treating proximal humerus fractures with a locked proximal humeral plate. Materials and Methods: Twenty patients with unstable proximal humerus fractures were treated with a locking compression plate between February 2005 and September 2007. The average age of the patients was 60.6 years, and the average postoperative follow-up period was 22.3 months. The clinical results were evaluated using the Constant and DASH scores. The radiologic results were evaluated by the Paavolainen method, which measures the neck shaft angle and humeral head height. Results: At the last follow-up examination, the mean Constant score was 75.3 and 15 cases (75%) had excellent or good results; the mean DASH score was 16.4. The mean neck shaft angle was 137.1。 , and 19 cases (95%) had good results by the Paavolainen method. There was one delayed union, malunion, and screw loosening. Conclusion:The patients treated with a locking compression plate had relatively good clinical and radiologic results, and a low complication rate. Moreover, the patients could exercise earlier due to good reduction and initial stability. Treatment of unstable proximal humerus fractures with a locking compression plate is a reliable method.

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