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Ergebnisse eines differenzierten Therapiekonzeptes dislozierter subkapitaler Humerusfrakturen älterer Menschen

  • K. Damanakis
  • O. Schaal
  • J. Mann
  • K. H. Müller
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Results of a Differentiated Therapy for Displaced Subcapital Humeral Fractures

Summary

Between 1990 and 1994 94 patients over 65 years of age with subcapital humeral fractures were treated by plate osteosynthesis combined with a modified postoperative treatment including intensive physical exercise in the early postoperative period. Three months after surgery all osteosynthesis materials were removed using a differentiated treatment of the subacromial area. In the follow-up study 69 of the 94 patients were examined; 22 patients showed an excellent, 26 a good, 9 a satisfactory, and 12 an unsatisfactory result. Thus, we recommend plate osteosynthesis of subcapital humeral fractures in elderly people in combination with our standardized postoperative regimes.

Literatur

  1. 1.
    Kuner EH, Siebler G (1987) Luxationsfrakturen des proximalen Humerus — Ergebnisse nach operativer Behandlung. Eine AO-Studie über 167 Fälle. Unfallchirurgie 13:64–71PubMedCrossRefGoogle Scholar
  2. 2.
    Neer CS (1970a) Displaced proximal humeral fractures, Part I. Classification and evaluation. J Bone Joint Surg [Am] 52:1077, 1089Google Scholar
  3. 3.
    Rader CP, Keller HW, Rehm KE (1992) Die operative Behandlung dislozierter 3- und 4-Segment-Frakturen des proximalen Humerus. Unfallchirurg 95:613–617PubMedGoogle Scholar
  4. 4.
    Siebler G, Walz H, Kuner EH (1989) Minimalosteosynthese von Oberarmkopffrakturen. Unfallchirurg 92:169–174PubMedGoogle Scholar
  5. 5.
    Syskowitz R, Seggl W, Schleifer P, Cundy PJ (1993) Proximal humeral fractures. Management technique and expected results. Clin Orthop Rel Res 292:13–25Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • K. Damanakis
    • 1
  • O. Schaal
    • 1
  • J. Mann
    • 1
  • K. H. Müller
    • 1
  1. 1.Klinik für Unfall- und WiederherstellungschirurgieFerdinand-Sauerbruch-KlinikumWuppertalDeutschland

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