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Die proximale Humerusfraktur im höheren Lebensalter

  • M. Hessmann
  • H. Gehling
  • L. Gotzen
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Treatment of Proximal Humeral Fractures in Elderly Patients

Summary

Functional results after plate osteosynthesis of unstable and displaced proximal humeral fractures, occurring in elderly patients, are good to excellent in 70% of patients, when surgery is performed according to the no-touch-technique. The incidence of aseptic necrosis of the humeral head and non-union are, in comparison with other internal fixation techniques, low. In four-part fractures and fracture-dislocations, primary arthroplasty remains the treatment of choice.

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Literatur

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    Neer CS II (1970) Displaced proximal humeral fractures: Classification and evaluation. J Bone Joint Surg 52 A: 1077–1089Google Scholar
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    Neumann K, Muhr G, Breitfuß H (1992) Primärer Kopfersatz der dislozierten Oberarmkopffraktur. Orthopäde 21:140–147PubMedGoogle Scholar
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    Schai I, Imhoff A, Staubli AE (1993) Differentialdiagnostik und Therapie der mehrfragmentären Hu-meruskopffraktur: eine Analyse aus 3 klinischen Studien. Z Unfallchir Vers Med 86:27–39Google Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • M. Hessmann
    • 1
  • H. Gehling
    • 1
  • L. Gotzen
    • 1
  1. 1.Klinikum für UnfallchirurgiePhilipps-Universität MarburgMarburg a.d. LahnDeutschland

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