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Di Yi Jun Yi Da Xue Xue Bao ; 24(9): 1080-1, 2004 Sep.
Artigo em Zh | MEDLINE | ID: mdl-15447872

RESUMO

OBJECTIVE: To analyze the surgical approaches for treating displaced proximal humeral two-and three-part fractures in elderly patients. METHODS: Nineteen elderly patients with displaced proximal humeral fractures were analyzed, including 13 patients with displaced two-part fractures and 6 with displaced three-part fractures. All the patients were treated by open reduction and fixation with humeral anatomical bone plates. RESULTS: The rate of excellent or good healing was 76.9% for two-part fractures without nonunion or humeral head necrosis, and was 66.7% for three-part fractures with a rate of humeral head necrosis of 16.7%. CONCLUSION: Displaced proximal humeral fractures in elderly patients should be managed with minimal open reduction and fixed with humeral anatomical bone plate.


Assuntos
Fixação Interna de Fraturas , Fraturas do Ombro/cirurgia , Idoso , Placas Ósseas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
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