Double-plate fixation of proximal humerus fractures analysis.docVIP

 PAGE \* MERGEFORMAT 9 Double-plate fixation of proximal humerus fractures analysis [Keywords:] of proximal humerus fractures May 2004 - 2007 June proximal humeral fractures were treated in 45 patients needed surgery, are used double-plate fixation of proximal humerus, of which 31 patients were followed up, results were satisfactory, the report is as follows. 1 Materials and Methods 1.1 General Information 31 patients, 12 males and 19 females, aged 55 to 73 years, left in 11 cases, the right side in 20 cases, both fresh fractures causes of injury: falls, 22 cases of car accident injuries in 7 cases, fall injury 2 cases according to AO / ASIF fracture classification, A-type in 9 cases, B-18 cases, C-type 4 cases. 1.2 Methods Surgery under brachial plexus or general anesthesia, the patient supine or lateral position, through a standard deltoid - pectoralis major approach, deltoid 1 / 3 of the flip from the dead in order to better expose fracture. Regardless of large tuberosity fracture fragment free or connected with the humeral head, both the cortex and the lateral distal humeral rotator cuff tendon to suture indirect reduction, to restore the continuity of the outer cortex, if fracture of the humeral head and humeral block intercalation, the periosteum can screwdriver into the pry pull the fracture and restore the continuity of the medial cortex, while small nodules should be noted that reduction, to ensure that humeral length and humeral head angle. intraoperative use of two 1 / 3 tubular plate on the lateral humeral 5 holes or 6 holes in 1 / 3 tubular plate, then the front side of the proximal humerus and lateral plate in the vertical position into the other a 4-hole 1 / 3 tubular plate, fracture lines in the distal and proximal with a screw can be fixed, such as severe osteoporosis, tighten the screw before the screw can start at the injection of bone cement. satisfactory inspection plate after washing the wound and place suction drainag