48-253
Fracturas del cuello quirúrgico del húmero (B2-B3). Tratamiento quirúrgico.
Fractures of the proximal humerus (B2-B3). Surgical management.
A. J. Arenas Planelles, A. Darrigo, A. Arenas Miquélez, A. Garbayo Marturet. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. COMPLEJO HOSPITALARIO DE NAVARRA. CLÍNICA UBARMIN. PAMPLONA.
Recepción:
30/09/2013
Aceptación:
30/09/2013
Publicación:
30/09/2013
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Resumen (ES)
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.
Palabras clave (ES):
Clavo intramedular
Enclavado
Placa atornillada
Cuello quirúrgico
Fractura B2-B3
Hombro
Extremidad proximal húmero
Tratamiento quirúrgico
Resumen (EN)
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.
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