47-252
Tratamiento quirúrgico de las fracturas tipo A3 de húmero proximal.
Surgical management in A3 fractures of the proximal humerus.
A. J. ARENAS PLANELLES, A. D'ARRIGO, A. ARENAS MIQUÉLEZ, J. DUART CLEMENTE SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. COMPLEJO HOSPITALARIO DE NAVARRA. PAMPLONA.
Recepción:
08/07/2013
Aceptación:
08/07/2013
Publicación:
23/07/2013
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Resumen (ES)
32 cases of A3 type fracture of the proximal humerus are presented. They were treated surgically by reduction and internal fixation with a proximal humeral nail or a locking plate. The results were satisfactory at most of the patients concerning the residual pain (mean Constant-Murley pain score: 11,88/15), the strength (mean Constant-Murley strength score: 15,13/25) and joint mobility of the shoulder (mean Constant-Murley mobility score:20,88/40). The most important complications were rotator cuff disorders (34,4%), varus consolidation of fracture (31,3%) and prominent hardware to the joint (12,5%). A3 type fractures of the proximal humerus are injuries that evolve normally well, when the surgical technique is performed correctly.
Palabras clave (ES):
Cirugía
Clavo
cerrojado
proximal
Placa
atornillada
Fractura
Extremidad
proximal
de
húmero
Hombro
Tratamiento
quirúrgico
Resumen (EN)
32 cases of A3 type fracture of the proximal humerus are presented. They were treated surgically by reduction and internal fixation with a proximal humeral nail or a locking plate. The results were satisfactory at most of the patients concerning the residual pain (mean Constant-Murley pain score: 11,88/15), the strength (mean Constant-Murley strength score: 15,13/25) and joint mobility of the shoulder (mean Constant-Murley mobility score:20,88/40). The most important complications were rotator cuff disorders (34,4%), varus consolidation of fracture (31,3%) and prominent hardware to the joint (12,5%). A3 type fractures of the proximal humerus are injuries that evolve normally well, when the surgical technique is performed correctly.
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