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The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 1 | Pages 181 - 182
1 Jan 1999
ZYTO K


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 3 | Pages 412 - 417
1 May 1997
Zyto K Ahrengart L Sperber A Törnkvist H

We randomised 40 elderly patients of mean age 74 years with displaced three- or four-part fractures of the humerus to either conservative treatment or tension-band osteosynthesis.

At one year and after three to five years, clinical follow-up showed no functional differences between the two groups of patients, with optimal function achieved within one year. There were major complications only in the surgically-treated group. Radiological review showed that surgery had improved the position of the fractured humeral head, but this was not reflected in improved function.

Semi-rigid fixation with tension-band wiring of displaced multifragment fractures of the proximal humerus in the elderly did not improve the functional outcome when compared with conservative treatment.