Autor: |
Zyto, K., Ahrengart, L., Sperber, A., Törnkvist, H. |
Zdroj: |
Journal of Bone and Joint Surgery - British Volume; May 1997, Vol. 79 Issue: 3 p412-417, 6p |
Abstrakt: |
We randomised 40 elderly patients of mean age 74 years with displaced three- or four-part fractures of the humerus to either conservative treatment or tension-band osteosynthesis.At one year and after three to five years, clinical follow-up showed no functional differences between the two groups of patients, with optimal function achieved within one year. There were major complications only in the surgically-treated group. Radiological review showed that surgery had improved the position of the fractured humeral head, but this was not reflected in improved function.Semi-rigid fixation with tension-band wiring of displaced multifragment fractures of the proximal humerus in the elderly did not improve the functional outcome when compared with conservative treatment. |
Databáze: |
Supplemental Index |
Externí odkaz: |
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