Follow-up our patients with proximal humeral fractures between 2000 and 2005

Abstract

Authors introduced a new method in 2000 for the operative treatment of proximal end of the humerus. Because of the anatomical properties of the shoulder, great emphasis is placed on the protection of the soft tissues of the joint, the minimal invasive operative technique. On the other hand, the osteoporosis, which presents itself in the old age, makes the osteosynthesis more difficult; the proportion of complication is high in spite of the most careful treatment. Authors collected the materials of these 6 years and they have ordered their operated patients back for examination. After a physical and RTG examinations the results have been assessed using the Constant-score. The results were assessed from two points of view: how they can be influenced by the operative methods or independently from them. One of the most common complications is the wandering of the fixed metals, the break move again. To prevent this, authors found that the foreign methods adapted for local use are too expensive and they used the locally made Kurucz's threaded wire. They stated in their researches that, the applied implants serve the purpose; they bring expected results from the material considerate operative procedure. Despite these facts we can not consider the treatment of the serious porotic shoulder joint fractures solved. The high ratio complication of humeral head's necrosis is independent from the applied method. For the treatment of these fractures the extensive application of the shoulder joint arthroplasty is necessary.