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Orthopaedic Proceedings
Vol. 86-B, Issue SUPP_III | Pages 247 - 247
1 Mar 2004
Kentel M Lewczyk L Wodzislawski W Tokarczuk K Homik J
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Aim: The aim of our study was to evaluate the resultsof non- operative treatment of proximal (18) and middle (20) thirdof the humerus fracture in 38 patients (20 female and 18 male) inour Clinic between 1998–2001. We treated displaced proximal third ofthe humerus fracture without complications by skeletal traction andafter reposition by plaster. Oblique and transverse middle third ofthe humerus fracture was treated by Caldwell plaster. Average age ofthe patients was 37 years. The mean follow-up was 2,7years. Method: We examine patientsaccording to the classification of Stewar and-Hundley. Results: In the patients with proximalthird of the humerus fracture were obtained 8 very good, 8 good, 2poor results. In the patients with middle third of the humerusfracture were obtained 8 very good, 8 good, 2 fair, 2 poor results. Complications were observed in 4 cases: 2 non- union, 2fracture-union with angle position. Conclusion: Weconclude the non-operative method is useful in this kind of humerusfractures.


Orthopaedic Proceedings
Vol. 86-B, Issue SUPP_III | Pages 243 - 244
1 Mar 2004
Tokarczuk K Wodzislawski W Kentel M Lewczyk L
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Aim: Ourgoal in this study was to evaluate patient’s independence and returning to home life in 152 patients (101 women-mean age 73,9 years and 51 men- mean age 68,2 years) with femoralneck fractures treated operatively (80%) or non- operatively (20%)in our ward. We compared with the prefracture functional status. The mean follow- up time was 4,4 years. Mortality of this populationwas 30%. Method: We examined 86 (57%) patientsusing Iselin scale in our modification. Hip pain, walking distance, ability of a patient to perform daily living activities: basic andinstrumental activities, using assistive devices to walk, patient’s subjective opinion about theoutcome were included to subjective assessment. Hip function, Trendelenburg sign, lower extremity equality, hip contracture, x-ray examination were included to clinical assessment. Results: Patients ability to walking after treatment was 50% less than before-fracture. After operative treatment the least hip pain was perceptedin patients between 75–85 years. Basic and instrumental activitieswere done best by patients to 85 years, treated operatively. In deadpopulation 53% patients died in the first year. Patients treatedoperatively lived 1.32 year longer than patients treatednon-operatively. Conclusion: Patients treated operatively received larger independence andadapted to home life better.