33-193

La artroplastia de Neer en las fracturas complejas del húmero proximal

NEER'S HEMIARTHROPLASTY IN COMPLEX FRACTURES OF THE PROXIMAL HUMERUS

A. FRANCÉS, A. GARCÍA-LÓPEZ, M. J. PÉREZ, A. LEÓN, F. MARCO y L. LÓPEZ-DURÁN Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico «San Carlos». Madrid.
Recepción:
09/09/2008
Aceptación:
09/09/2008
Publicación:
16/09/2008


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Resumen (ES)

We study the results obtained after acute treatment of a group of 32 patients diagnosed of four-fragment fracture of the proximal humerus in whom a Neer I™ hemiarthroplasty was used. The patients were assessed with clinic and radiological parameters,  and for the evaluation of the results Neer criteria were used. The global results obtained were 69% of good and fair and 31% of bab results. The tuberosities attachment
concentrate the great complication Índex, that together with other complications acconist for 18% of the cases. The success of the attachment had a positive correlation with functional results (p = 0.0019). A meticulous technique joined with a good rehabilitation program are pointed as essential for being successful.

Palabras clave (ES):

Fractura
Húmero
Artrosplastia

Resumen (EN)

We study the results obtained after acute treatment of a group of 32 patients diagnosed of four-fragment fracture of the proximal humerus in whom a Neer I™ hemiarthroplasty was used. The patients were assessed with clinic and radiological parameters,  and for the evaluation of the results Neer criteria were used. The global results obtained were 69% of good and fair and 31% of bab results. The tuberosities attachment
concentrate the great complication Índex, that together with other complications acconist for 18% of the cases. The success of the attachment had a positive correlation with functional results (p = 0.0019). A meticulous technique joined with a good rehabilitation program are pointed as essential for being successful.

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