Fracturas del cuello quirúrgico del húmero (B2-B3). Tratamiento quirúrgico.
- Arenas Planelles, Antonio
- D'Arrigo, A.
- Arenas Miquélez, Antonio
- Garbayo Marturet, Antonio Jesús
ISSN: 0304-5056
Any de publicació: 2013
Volum: 48
Número: 253
Pàgines: 9-21
Tipus: Article
Altres publicacions en: Revista española de cirugía osteoarticular
Resum
36 cases of B2-B3 type fracture of the proximal humerus are presented. They were treated surgically by reduction and internal fixation with a proximal humeral nail (4 cases), a locking plate (29 cases); or using a shoulder hemi-arthroplasty (3 cases). The results were satisfactory at most of the patients concerning the residual pain (mean Constant-Murley pain score: 11,97/15), the strength (mean Constant-Murley strength score: 13,42/25) and joint mobility of the shoulder (mean Constant-Murley mobility score: 24,33/40). The most important complications were rotator cuff disorders (10 cases), varus consolidation of fracture (6 cases) and malunion of the tuberosities (5 cases). Proximal humerus fractures type B2 and B3 are lesions that evolve usually well, when the surgical procedure is performed correctly.