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Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report
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Moon Chan Kim, Jae Lim Cho, Hung Tae Chung, Dong Jun Kim, In Bo Kim
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J Korean Fract Soc 2011;24(1):96-99. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.96
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 Abstract
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- For valgus impacted four part fracture of the proximal humerus, surgical stabilization and early mobilization of the joint can produce the best clinical outcomes. But, we have experienced a case of conservative treatment and gained good clinical results. We have reported this case and included a review of the relevant literatures.
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The Treatment Of Humeral Shaft Fracture With Rertograde Ao Unreamed Humeral Nail
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Tae Woo Park, Sung Do Cho, Young Sun Cho, Bum Soo Kim, Sogu Lew, Moon Chan Kim, Ki Young Kim
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J Korean Soc Fract 2002;15(3):398-403. Published online July 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.3.398
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Abstract
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- PURPOSE
To evaluate the results of the treatment of humeral shaft fractures using retrograde AO Unreamed Humeral Nail(UHN).
MATERIALS AND METHOD
From Apr. 1998 and Aug. 2001, 18 humeral shaft fractures were treated with retrograde AO UHN. All fractures were classified according to the AO classification. The results were analyzed by bony union time, range of motion and complication.
RESULTS
There were eleven cases of A3, two B2, one B3, four A2 humeral middle shaft fractures according to the AO classification. The mean bony union time was 12.2 weeks(range;9-16 weeks). All patients regained full range of motion of the shoulder joint and the elbow joint but 2 patients with intraopenatively ruptured capsule had transient elbow motion limitation. Complications were iatrogenic fractures at the entry portal in 2 patients(15%), transient shoulder pain in 4 patients(30.7%), nonunion in 1 patient(7.6%), required bone graft and internal fixation after removal of the nail at 13 months postoperatively.
CONCLUSION
The treatment of humeral shaft fracture with retrograde AO unreamed humeral nail is one of the good options to reduce the rate of non-union or delayed union by compression effect if the intraoperative errors is prevented.
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