Treatment of acute proximal humeral fractures in children with modular external fixator

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• 作者：Michele Bisaccia¹ ; Luigi Meccariello² ; ^{drlordmec@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Mattia Manni¹ ; Gabriele Falzarano² ; Antonio Medici² ; Giuseppe Rinonapoli¹ ; Salvatore Di Giacinto³ ; Giovanni Colleluori¹ ; Cristina Ibá ; ñ ; ez Vicente¹ ; Paolo Ceccarini¹ ; Olga Bisaccia⁴ ; Auro Caraffa¹
• 关键词：Proximal humeral fractures ; Children ; Modular external fixator ; Hoffmann II
• 刊名：Journal of Acute Disease
• 出版年：2016
• 出版时间：1 November 2016
• 年：2016
• 卷：5
• 期：6
• 页码：497-501
• 全文大小：1220 K

文摘

To evaluate the follow-up of the fractures treated by external fixator.

Methods

A total of 31 children aged 6–15 years with proximal humeral fractures Grade IV according to Neer–Horowitz classification were treated. The medium follow-up was 24 months.

Results

In all cases, a good stability of the fracture and a quick healing process were obtained. The mean time of follow-up was 24 months. The external fixation was removed after 6 weeks (5–8 weeks) on average. Constant shoulder score was proposed to all patients and the average result was 97.5 (84–100).

Conclusions

Advantages of the external fixation are rapid mobilization of the joint, low invasiveness, a single surgery and the possibility to correct any secondary displacement. It is important to underline that the positioning of external fixator should be implanted by expert surgeons and that the patients must cooperate during the entire process up to the time of the removal of the fixator.