HUMERUS NECK FRACTURES TREATMENT–A NEW METHOD (TGF)

Abstract

The humerus neck fractures (HNF) are a frequent pathology in the 6th decade of life. Until now the manipulation and the most of the traditional surgeries (including prosthesis) haven’t shoed satisfactory results. By using the TGF system, a minimal invasive technique, we have the advantage of immediate mobility of the articulation. The TGF system is a mixed fixator that creats a new concept in osteotaxis. This new concept, using tension-guides, allows us to look at HNF as a non invasive and effective way of treatment.

We use the Neer classification, accepted worldwide in HNF. We have operated successfully 5 HNF Neer II, 16 HNF Neer III and 9 HNF Neer IV, between 26 years and 83 years old in 6 males and 24 females. The cinetical lesion’s energy was divided in: Hight energy–4 cases, Medial energy–5 cases, Low energy–21 cases.

Because of the complexity of this type of fractures, the conservative or the osteosynthesis have a low rate of sucess. With TGF system the results are good, with 100% of consolidation and a good final alignement. The funcional results are: Very good, with 100% of mobilization and no pain–4 cases; Good, with 80% to 100% of mobilization and some times pain–23 cases; Regular, with 80% to 50% of mobilization and pain with effort–3 cases; Bad, with less than 50% of mobilization and constant pain–0 cases. As complications we reported 4 pin superficial infection.

The TGF system has proved, as we can show, attending it’s safety ness and efficacy, to be the best method for the treatment of HNF.