Abstract
Aims: The treatment of proximal humeral fracture is controversial. We proposed a syntesis with a solid nail system in order to achieve a good functional recovery Material and methods: Prospective study of 12 patients, mean age of 51 years (33 y–85y), since 2000 – 2002. All alleatory included according surgeon assignation. The men/women: 6/6. The right/left side 5/7.
Follow up period: 8 month (6m–15m).
Associated pathology: 1 ipsilateral linfedema and 1 TCE, (politrauma) X-Ray evaluation: P.A., axilary and lateral scapular view. CT scan was made to evaluate fracture patterns.
Neer classification: 6: 3-Neer; 5: 4-Neer and 1: 2-Neer part non union fracture.
Polarus nail were used in all. All (except 2)start functional recovery in first postoperative day. Constant test and x-Ray were made at regulars period.
Results: All consolidated: mean 5 weeks (5–11 w) without residual mal union. In two: nail with little proximal procidence without repercussion. In 1 was necessary the extraction of one screw All recovery its functional range of movement after 3 month. Two: limited range of movement, both have returned to habitual home activities. The Constant test was improving, mean of 74% (54–94%) Conclusions: The Polarus nail is an excellent synthesis for these fractures: it’s minimally invasive, gives a solid synthesis without hardware failures and facilitates an early rehabilitation program.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
