Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail
Objective and methodology: A retrospective review of the outcome of patients who had proximal humeral fracture treated with T2 Proximal Humeral Nail from January 2007 to March 2011 was conducted. The demographics, union rate, and complications were reviewed. The patient outcome was assessed with the...
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Format: | Article |
Language: | English |
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SAGE Publishing
2013-12-01
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Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491713000249 |
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author | Sze-Ling Iris Ngai Ka-Chun Ip Kin-Bong Lee Wan-Yiu Shen Ben Chan |
author_facet | Sze-Ling Iris Ngai Ka-Chun Ip Kin-Bong Lee Wan-Yiu Shen Ben Chan |
author_sort | Sze-Ling Iris Ngai |
collection | DOAJ |
description | Objective and methodology: A retrospective review of the outcome of patients who had proximal humeral fracture treated with T2 Proximal Humeral Nail from January 2007 to March 2011 was conducted. The demographics, union rate, and complications were reviewed. The patient outcome was assessed with the American Shoulder and Elbow Surgeons (ASES) score and Constant-Murley score.
Results: Thirty-two cases of traumatic proximal humeral fractures were included. The average follow-up period was 14.7 months. All fractures healed with an average of 3.97 months. The average forward flexion and lateral abduction of shoulder was 132° and 123°, respectively. The postoperative average Constant-Murley score was 67 (48-80) and ASES score was 82.9 (73-100). There was one case of avascular necrosis of humeral head. Six cases of minor screw complications required removal of screws later. No wound infection or neurovascular injury was found.
Discussion and conclusion: With the proper surgical technique high union rate, good functional recovery, and low complication rate can be achieved by using T2 Proximal Humeral Nail in managing traumatic proximal humeral fracture. |
first_indexed | 2024-12-11T20:52:54Z |
format | Article |
id | doaj.art-bfe6dc05c6b146c591e3c25b707c1a0b |
institution | Directory Open Access Journal |
issn | 2210-4917 |
language | English |
last_indexed | 2024-12-11T20:52:54Z |
publishDate | 2013-12-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of Orthopaedics, Trauma and Rehabilitation |
spelling | doaj.art-bfe6dc05c6b146c591e3c25b707c1a0b2022-12-22T00:51:11ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172013-12-01172667010.1016/j.jotr.2013.05.003Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral NailSze-Ling Iris Ngai0Ka-Chun Ip1Kin-Bong Lee2Wan-Yiu Shen3Ben Chan4Department of Orthopaedics and Traumatology, Trauma Service, Queen Elizabeth Hospital, Kowloon, Hong KongDepartment of Orthopaedics and Traumatology, Trauma Service, Queen Elizabeth Hospital, Kowloon, Hong KongDepartment of Orthopaedics and Traumatology, Trauma Service, Queen Elizabeth Hospital, Kowloon, Hong KongDepartment of Orthopaedics and Traumatology, Trauma Service, Queen Elizabeth Hospital, Kowloon, Hong KongDepartment of Physiotherapy, Queen Elizabeth Hospital, Kowloon, Hong KongObjective and methodology: A retrospective review of the outcome of patients who had proximal humeral fracture treated with T2 Proximal Humeral Nail from January 2007 to March 2011 was conducted. The demographics, union rate, and complications were reviewed. The patient outcome was assessed with the American Shoulder and Elbow Surgeons (ASES) score and Constant-Murley score. Results: Thirty-two cases of traumatic proximal humeral fractures were included. The average follow-up period was 14.7 months. All fractures healed with an average of 3.97 months. The average forward flexion and lateral abduction of shoulder was 132° and 123°, respectively. The postoperative average Constant-Murley score was 67 (48-80) and ASES score was 82.9 (73-100). There was one case of avascular necrosis of humeral head. Six cases of minor screw complications required removal of screws later. No wound infection or neurovascular injury was found. Discussion and conclusion: With the proper surgical technique high union rate, good functional recovery, and low complication rate can be achieved by using T2 Proximal Humeral Nail in managing traumatic proximal humeral fracture.http://www.sciencedirect.com/science/article/pii/S2210491713000249nailproximal humeral fracture |
spellingShingle | Sze-Ling Iris Ngai Ka-Chun Ip Kin-Bong Lee Wan-Yiu Shen Ben Chan Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail Journal of Orthopaedics, Trauma and Rehabilitation nail proximal humeral fracture |
title | Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail |
title_full | Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail |
title_fullStr | Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail |
title_full_unstemmed | Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail |
title_short | Minimally Invasive Fixation for Proximal Humeral Fracture: A Review on the use of T2 Proximal Humeral Nail |
title_sort | minimally invasive fixation for proximal humeral fracture a review on the use of t2 proximal humeral nail |
topic | nail proximal humeral fracture |
url | http://www.sciencedirect.com/science/article/pii/S2210491713000249 |
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