Treatment of acute proximal humeral fractures in children with modular exter nal fixator

Objective: 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 st...

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Main Authors: Michele Bisaccia, Luigi Meccariello, Mattia Manni, Gabriele Falzarano, Antonio Medici, Giuseppe Rinonapoli, Salvatore Di Giacinto, Giovanni Colleluori, Cristina Ibañez Vicente, Paolo Ceccarini, Olga Bisaccia, Auro Caraffa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-11-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2221618916301597
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author Michele Bisaccia
Luigi Meccariello
Mattia Manni
Gabriele Falzarano
Antonio Medici
Giuseppe Rinonapoli
Salvatore Di Giacinto
Giovanni Colleluori
Cristina Ibañez Vicente
Paolo Ceccarini
Olga Bisaccia
Auro Caraffa
author_facet Michele Bisaccia
Luigi Meccariello
Mattia Manni
Gabriele Falzarano
Antonio Medici
Giuseppe Rinonapoli
Salvatore Di Giacinto
Giovanni Colleluori
Cristina Ibañez Vicente
Paolo Ceccarini
Olga Bisaccia
Auro Caraffa
author_sort Michele Bisaccia
collection DOAJ
description Objective: 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.
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spelling doaj.art-bf17783c54eb4334a423f45db1d6dc4a2022-12-21T23:00:58ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892016-11-015649750110.1016/j.joad.2016.08.021Treatment of acute proximal humeral fractures in children with modular exter nal fixatorMichele Bisaccia0Luigi Meccariello1Mattia Manni2Gabriele Falzarano3Antonio Medici4Giuseppe Rinonapoli5Salvatore Di Giacinto6Giovanni Colleluori7Cristina Ibañez Vicente8Paolo Ceccarini9Olga Bisaccia10Auro Caraffa11Department of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, Italy U.O.C. Orthopedics and Traumatology, Azienda Ospedaliera “ Gaetano Rummo” , Benevento, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, Italy U.O.C. Orthopedics and Traumatology, Azienda Ospedaliera “ Gaetano Rummo” , Benevento, Italy U.O.C. Orthopedics and Traumatology, Azienda Ospedaliera “ Gaetano Rummo” , Benevento, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, ItalySOC Pediatric Orthopaedic and Traumatology, Azienda Ospedaliero-Universitaria Meyer, Firenze, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, ItalyDepartment of Radiology, San Donato Hospital, University of Milano, Milano, ItalyDepartment of Orthopaedics and Traumatology, S.M. Misericordia Hospital, University of Perugia, Perugia, ItalyObjective: 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.http://www.sciencedirect.com/science/article/pii/S2221618916301597Proximal humeral fracturesChildrenModular external fixatorHoffmann II
spellingShingle Michele Bisaccia
Luigi Meccariello
Mattia Manni
Gabriele Falzarano
Antonio Medici
Giuseppe Rinonapoli
Salvatore Di Giacinto
Giovanni Colleluori
Cristina Ibañez Vicente
Paolo Ceccarini
Olga Bisaccia
Auro Caraffa
Treatment of acute proximal humeral fractures in children with modular exter nal fixator
Journal of Acute Disease
Proximal humeral fractures
Children
Modular external fixator
Hoffmann II
title Treatment of acute proximal humeral fractures in children with modular exter nal fixator
title_full Treatment of acute proximal humeral fractures in children with modular exter nal fixator
title_fullStr Treatment of acute proximal humeral fractures in children with modular exter nal fixator
title_full_unstemmed Treatment of acute proximal humeral fractures in children with modular exter nal fixator
title_short Treatment of acute proximal humeral fractures in children with modular exter nal fixator
title_sort treatment of acute proximal humeral fractures in children with modular exter nal fixator
topic Proximal humeral fractures
Children
Modular external fixator
Hoffmann II
url http://www.sciencedirect.com/science/article/pii/S2221618916301597
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