Proximal humerus four-part fracture surgery the comparison of non-surgical treatment and experience.docVIP

 PAGE \* MERGEFORMAT 8 Proximal humerus four-part fracture surgery the comparison of non-surgical treatment and experience Of: Wu Yong, Qiu Hui Fang Min, Zhang Zhe [Abstract] Objective To investigate the three-part proximal humeral fractures with the four-part method. Methods or anatomical open reduction and Kirschner wire fixation and external fixation with plaster compared with manipulative reduction. Results excellent surgical group was higher than non-surgical group . Conclusion proximal humeral, four-part fractures, surgical treatment for shoulder functional recovery even more. [Keywords:] open reduction; internal fixation; proximal humerus; fracture; surgical treatment Humeral head and the size of the nodules were divided into four parts, a large number of proximal humerus bone trabecular network, it is prone to fracture, so the proximal humerus fracture fracture is a common one, according to the proximal humerus fracture type, on the three-part fractures and four-part fractures, most of them advocate surgical treatment [1,2] In 1995, I have homes on the three-part fracture of four-part fractures with open reduction and Kirschner wire fixation, since 2001 our hospital has used anatomical proximal humerus plate (clover-shaped and T-shaped plate) fixed, and the same three-part proximal humerus fractures with the four-part fractures in patients with non-surgical treatment in contrast, get some experience, are as follows. 1 Materials and Methods 1.1 General information will be divided into two groups of patients, surgical group of 15 patients, 9 males and 6 females, aged 20 to 63 years, mean 35 years. Including 4 cases of fracture of the left humerus, right humerus fractures of 11 patients off-side. 3 cases of high falls, the ground falls in 2 cases, 9 cases of traffic accidents, people injured in 1 case stick. the control group 17 patients, 5 males and 12 females, aged 40 to 82 years, mean 51 years of age. humerus near the left end fracture