• 作者：A. Montiel-Gimé ; nez^a ; ^{amontielgimenez@asepeyo.es} ; F. Granell-Escobar^a ; S. Gallardo-Villares^a ; R. Franco-Gó ; mez^a ; A. Escolá ; -Benet^b
• 关键词：Fracturas proximales del hú ; mero ; Osteosí ; ntesis ; Cirugí ; a percutá ; nea ; Cirugí ; a mí ; nimamente invasiva
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2011
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：November-December 2011
• 卷：55
• 期：6
• 页码：446-453
• 文件大小：287 K

Objective

To evaluate the results obtained with percutaneous or minimally invasive treatment of displaced fractures of the proximal humerus in a series of patients of working age and with good bone quality.

Material and methods

The retrospective study included 90 subjects treated in our hospital. The fractures were distributed, according to the Neer classification, into 21 fractures in 2 parts, 44 in 3 parts, and 25 in 4 parts. Five of the subjects had an associated joint dislocation. The fractures in 2 and 3 parts were impacted in valgus and some were in varus. All the cases were resolved with percutaneous or minimally invasive surgery by manipulation of the fragments and stabilising with Kirschner wires and/or cannulated screws.

Results

The evaluation was performed using the Constant test, with a mean result of 77. A total of 15 (17%) patients suffered complications, the most frequent being avascular necrosis in 4 patients (4%).

Conclusion

We believe that percutaneous treatment of these fractures young subjects of working age is a reliable treatment method, achieving a 92%return to work in our series and with few complications.