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Open Intramedullary Nail with Tension Band Sutures & Lock Sutures on Proximal Humeral Three-part Fracture
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Jin Oh Park, Jin Young Park, Sung Tae Lee, Hong Keun Park
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J Korean Fract Soc 2007;20(1):45-52. Published online January 31, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.1.45
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 Abstract
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- PURPOSE
To evaluate the results according to the difference of age and bone mineral density (BMD) of the surgical treatments using open intramedullary nail with tension sutures and lock suture on proximal humeral three part fracture.
MATERIALS AND METHODS
30 patients treated by open intramedullary nail with tension band and lock suture technique on proximal humeral fractures were reviewed. After treatment, average follow up periods was 50 months (range; 17~143 month). Postoperative clinical outcome was evaluated using ASES functional score, Neer score and constant score.
RESULTS
Bony union were obtained all except one case. Range of motion, mean forward elevation was 142°, mean external rotation was 56°, mean external rotation at 90° abduction was 68°. Average pain score of visual analog scale was 1.5. Average functional score of American Shoulder and Elbow Society was 86. Average Neer score was 89. Constant score was 85. Pain and functional score of group I were better than those of group, however, there was no statistically significant difference (p>0.05). In the comparison between group III and group IV, the results were same (p>0.05).
CONCLUSION
The patients treated using open intramedullary nailing, tension band and lock suture could enable early ROM exercise and show good clinical results. This treatment method will be useful in old age osteoprorotic patients.
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Citations
Citations to this article as recorded by  - Hemiarthoplasty with Bone Block Graft and Low Profile Prosthesis for the Comminuted Proximal Humerus Fractures
Chung Hee Oh, Joo Han Oh, Sae Hoon Kim, Ki Hyun Jo, Sung Woo Bin, Hyun Sik Gong
Journal of the Korean Fracture Society.2008; 21(3): 213. CrossRef
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Humeral Fractures Associated by Forearm Fractures
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Ho Jung Kang, Kae Yong Han, Kyu Jyun Yang, Jin Oh Park
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J Korean Soc Fract 1998;11(2):405-412. Published online April 30, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.2.405
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Abstract
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- We reviewed fractured patients in Yongdong Severance Hospital for 10 years(1987-96), and collected 42 fractured patients who had concomittent ipsilateral humeral fractures and forearm fractures. The causes of injury were falling down in 21, slipping down in 2, motor vehicle accident in 15, machinery injuries in 2, crushing injury in 1 and ski injury in 1. among them 13 patients were under 15 years old. Nine cases of supracondylar fractures, three cases of lateral condylar fractures and one case of proximal humeral fractures were included. Patterns of combined forearm fractures were diverse. Twenty-three cases were occurred in the age between 16 and 59 years. Fracture patterns were very complicated in both humerus and forearm in this age. Most common humeral fracture was midshaft fracture and forearm was both forearm bone fracture. The fractures were resulted from relatively more severe traumatic event in this age than other ages. Number of patients over 60 years was six. four of them had proximal humeral fractures, one of them distal humeral fracture and one of them humeral medial comdylar fracture. Forearm fracture patterns were various but the olecranon fracture was the most common forearm fracture(4/6) in the aged. We treated fractures by many combinations of operative and conservative means. Generally K-wires were applied to the children when internal fixation was indicated. The shaft of long bones were fixated usually by dynamic compression plate and comminuted articular fractures by Egyre plate or K-wires. The average follow up period was 15 months(5-35 months). 17 complications were resulted. There were 4 nonunions, 3 elbow ankylosises, 1 Volkmann's ischemic contracture, 7 nerve paralysises(4 ulna nerve, 3 radial nerve) and 2 infections.
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