The method of osteosynthesis of surgical neck of thehumerus in elderly
Abstract
In this paper, the authors have developed and proposed a method for the treatment of fractures of the proximal end of the humerus in the elderly. The experience of treating 98 patients with fractures of the surgical neck of the shoulder using intramedullary double-branch pin-track fixation device has been shown. Postoperative immobilization was carried out with a plaster splint for 4 weeks. The results of treatment of patients with fractures of the proximal humerus were evaluated on a scale Neer C.S. We have identified a number of advantages of this method, namely, small traumatic complications, an individual approach to the manufacture of hardware, durable fixation of bone fragments. Application of this method allowed to obtain good treatment results in 95,9% of cases.
References
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6. Buecking B., Mohr J., Bockmann B. Deltoid-split or Deltopectoral Approaches for the Displaced proximal humeralfractures? // Clin. Orthop. Relat. Res. – 2014. –Vol. 472 (5). – P. 1576–1585.
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8. Jung W.B., Moon E.S., Kim S.K. Does medial support decrease major complications of unstable proximal humerus fractures treated with locking plate? // BMC musculoskelet. Disord. – 2013. – Vol. 14. – P.102.
9. Launonen A.P., Lepola T., Flinkkila T. Treatment of proximal humerus fractures in the elderly // Acta Ortopedica. –2015. – Vol. 86. №3. –P.280–285.
10. Lefevre Y., Journeau P., Angelliaume A. Proximal humerus fractures in children and adolescents // Orthopaedic and traumatology. –2013. –Vol. 100. №1. – P. 149–156.
11. Liu k., Liu P.C., Liu R. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment proximal humerus fractures // Med. Sci. Monit. – 2015. – Vol.21. – P. 496–504.
12. Neer C.S. Displaced proximal humeral fractures. Part I. classification and evalution // J. Bone Joint Surg. (Am). – 1970. –Vol. 52. №6. – P. 1077–1089.
13. Rangan A., Handoll H., Brealey S. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: The profher randomized clinical // JAMA. – 2015. – Vol. 313. №10. –P.1037–1047.
REFERENCES
1. Weinstein V.G., Kashkarov S.E. Treatment closed intraarticular fractures and dislocations konechnostey. – Leningrad: Meditsina, 1973. – P.39–43. (in Russian)
2. Voronin N.I. Treatment of high fracture of the humerus. Status issue. Search. Solutions // Problems of physical education and zdorovya. – Moscow, 1994. –192 p. (In Russian)
3. Klyuchevskii V.V. Surgery povrezhdeniy. – Yaroslavl, 1999. – 587 p. (in Russian)
4. Skoroglyadov A.V. The use of titanium elastic rod osteosynthesis of fractures of the proximal humerus in adolescents // Pediatriya. – 2008. – Vol.87. №2. – P.134–136. (in Russian)
5. Bengner U. Changes in the incidence of fracture of the upper end of the humerus during a 30-year period // Clin. Orthop. –1998. – Vol.231. – P.179–182.
6. Buecking B., Mohr J., Bockmann B. Deltoid-split or Deltopectoral Approaches for the Displaced proximal humeralfractures? // Clin. Orthop. Relat. Res. – 2014. –Vol. 472 (5). – P.1576–1585.
7. Hessman M. H., Hansen W.S. Locked plate fixation and intramedullary nailing for proximal humerus fracture: a biomechanical evalution // J. Trauma. – 2005. –Vol. 58. №6. –P. 1194–1201.
8. Jung W.B., Moon E.S., Kim S.K. Does medial support decrease major complications of unstable proximal humerus fractures treated with locking plate? // BMC musculoskelet. Disord. –2013. – Vol. 14. –P.102.
9. Launonen A.P., Lepola T., Flinkkila T. Treatment of proximal humerus fractures in the elderly // Acta Ortopedica. – 2015. –Vol. 86 (3). – P.280–285.
10. Lefevre Y., Journeau P., Angelliaume A. Proximal humerus fractures in children and adolescents // Orthopaedic and traumatology. – 2013. – Vol. 100. №1. –P.149–156.
11. Liu k., Liu P.C., Liu R. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment proximal humerus fractures // Med. Sci. Monit. –2015. – Vol. 21. –P.496–504.
12. Neer C.S. Displaced proximal humeral fractures. Part I. classification and evalution // J. Bone Joint Surg. (Am). – 1970. –Vol. 52 (6). –P. 1077–1089.
13. Rangan A., Handoll H., Brealey S. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: The profher randomized clinical // JAMA. –2015. –Vol. 313 (10). –P.1037–1047.
2. Воронин Н.И. Лечение высоких переломов плечевой кости. Состояние вопроса. Поиски. Решения // Проблемы физического воспитания и здоровья. – М., 1994. –192 с.
3. Ключевский В.В. Хирургия повреждений. – Ярославль, 1999. –587 с.
4. Скороглядов А.В. Применение титановых эластических стержней при остеосинтезе переломов проксимального отдела плечевой кости у подростков // Педиатрия. –2008. – Т. 87. №2. – С.134–136.
5. Bengner U. Changes in the incidence of fracture of the upper end of the humerus during a 30-year period // Clin. Orthop. –1998. – Vol.231. – P. 179–182.
6. Buecking B., Mohr J., Bockmann B. Deltoid-split or Deltopectoral Approaches for the Displaced proximal humeralfractures? // Clin. Orthop. Relat. Res. – 2014. –Vol. 472 (5). – P. 1576–1585.
7. Hessman M. H., Hansen W.S. Locked plate fixation and intramedullary nailing for proximal humerus fracture: a biomechanical evalution // J. Trauma. –2005. –Vol.58. №6. –P.1194–1201.
8. Jung W.B., Moon E.S., Kim S.K. Does medial support decrease major complications of unstable proximal humerus fractures treated with locking plate? // BMC musculoskelet. Disord. – 2013. – Vol. 14. – P.102.
9. Launonen A.P., Lepola T., Flinkkila T. Treatment of proximal humerus fractures in the elderly // Acta Ortopedica. –2015. – Vol. 86. №3. –P.280–285.
10. Lefevre Y., Journeau P., Angelliaume A. Proximal humerus fractures in children and adolescents // Orthopaedic and traumatology. –2013. –Vol. 100. №1. – P. 149–156.
11. Liu k., Liu P.C., Liu R. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment proximal humerus fractures // Med. Sci. Monit. – 2015. – Vol.21. – P. 496–504.
12. Neer C.S. Displaced proximal humeral fractures. Part I. classification and evalution // J. Bone Joint Surg. (Am). – 1970. –Vol. 52. №6. – P. 1077–1089.
13. Rangan A., Handoll H., Brealey S. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: The profher randomized clinical // JAMA. – 2015. – Vol. 313. №10. –P.1037–1047.
REFERENCES
1. Weinstein V.G., Kashkarov S.E. Treatment closed intraarticular fractures and dislocations konechnostey. – Leningrad: Meditsina, 1973. – P.39–43. (in Russian)
2. Voronin N.I. Treatment of high fracture of the humerus. Status issue. Search. Solutions // Problems of physical education and zdorovya. – Moscow, 1994. –192 p. (In Russian)
3. Klyuchevskii V.V. Surgery povrezhdeniy. – Yaroslavl, 1999. – 587 p. (in Russian)
4. Skoroglyadov A.V. The use of titanium elastic rod osteosynthesis of fractures of the proximal humerus in adolescents // Pediatriya. – 2008. – Vol.87. №2. – P.134–136. (in Russian)
5. Bengner U. Changes in the incidence of fracture of the upper end of the humerus during a 30-year period // Clin. Orthop. –1998. – Vol.231. – P.179–182.
6. Buecking B., Mohr J., Bockmann B. Deltoid-split or Deltopectoral Approaches for the Displaced proximal humeralfractures? // Clin. Orthop. Relat. Res. – 2014. –Vol. 472 (5). – P.1576–1585.
7. Hessman M. H., Hansen W.S. Locked plate fixation and intramedullary nailing for proximal humerus fracture: a biomechanical evalution // J. Trauma. – 2005. –Vol. 58. №6. –P. 1194–1201.
8. Jung W.B., Moon E.S., Kim S.K. Does medial support decrease major complications of unstable proximal humerus fractures treated with locking plate? // BMC musculoskelet. Disord. –2013. – Vol. 14. –P.102.
9. Launonen A.P., Lepola T., Flinkkila T. Treatment of proximal humerus fractures in the elderly // Acta Ortopedica. – 2015. –Vol. 86 (3). – P.280–285.
10. Lefevre Y., Journeau P., Angelliaume A. Proximal humerus fractures in children and adolescents // Orthopaedic and traumatology. – 2013. – Vol. 100. №1. –P.149–156.
11. Liu k., Liu P.C., Liu R. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment proximal humerus fractures // Med. Sci. Monit. –2015. – Vol. 21. –P.496–504.
12. Neer C.S. Displaced proximal humeral fractures. Part I. classification and evalution // J. Bone Joint Surg. (Am). – 1970. –Vol. 52 (6). –P. 1077–1089.
13. Rangan A., Handoll H., Brealey S. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: The profher randomized clinical // JAMA. –2015. –Vol. 313 (10). –P.1037–1047.
Published
2018-04-10
How to Cite
ШАГДУРОВ, Вячеслав Анатольевич; РИНЧИНОВ, Ринчин Дабаевич; ГУБАРЬ, Евгений Анатольевич.
The method of osteosynthesis of surgical neck of thehumerus in elderly.
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 143, n. 4, p. 31-33, apr. 2018.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/137>. Date accessed: 01 jan. 2026.
Issue
Section
Clinical cases
