Die winkel- und rotationsstabile Osteosynthese proximaler Humerusfrakturen mit der Humerus-Fixateurplatte Erste klinische Erfahrungen mit einem neu entwickelten Spezialimplantat

Autor: P. J. Meeder, L. Herzog, H. Mückter, J. Buchholz, W. Vogel, M. Becker
Rok vydání: 2001
Předmět:
Zdroj: Der Chirurg. 72:1327-1335
ISSN: 0009-4722
DOI: 10.1007/s001040170039
Popis: Introduction The Humerus Fixator Plate is presented as a new implant for angle- and rotation-stable internal fixation for the operative treatment of proximal humerus fractures at the surgical neck. Methods In an ongoing two-centre study, 47 patients were treated with the new implant. To date, 31 patients had clinical and radiological postoperative follow-up examinations with a mean interval of 10 months (range: 6-14 months). Results In 46 patients (97.9%), complete angle and rotational stability was achieved without limiting the range of motion or requiring immobilization. Good pain relief was obtained in 43 patients (91.5 %), and 3 patients (6.4%) showed moderate pain relief following surgery. There was one implant failure. Utilizing the Constant-Raw score (without any correction factors), a mean result of 82.8 points (range: 46-100 points) was ascertained. The majority of the patients (87.1%) achieved "excellent" or "good" clinical results. X-ray analysis revealed no non-union nor humerus head necrosis. In 4 cases (12.9%), protrusion of a humerus head screw was observed which mandated removal of the implant. Conclusion The first clinical investigations of the novel Humerus Fixator Plate are encouraging and provide essential advances in the treatment of unstable proximal humerus fractures.
Databáze: OpenAIRE