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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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Original Article
Intramedullary Nailing for the Fracture of Proximal Humerus
Ho Jung Kang, Dae Young Lee, Seung Yong Sung, Soo Bong Hahn
J Korean Fract Soc 2004;17(3):271-276.   Published online July 31, 2004
DOI: https://doi.org/10.12671/jkfs.2004.17.3.271
AbstractAbstract PDF
PURPOSE
To evaluate the clinical and radiological result of the treatment for the fracture of proximal humerus using intramedullary nail.
MATERIALS AND METHODS
Nine cases with fractures around the shoulder joint treated with Polarus IM nail from February 1999 to June 2002 was selected. There were 1 case with segmental fracture, 2 cases with nonunion after conservative treatment, 3 cases with nonunion after IM nail, 1 case with nonunion after pinning, 1 case with metal failure after plate fixation, and 1 case with fracture combined with shoulder dislocation. Bone union was evaluated with simple radiographic findings, and functional evaluation was done using Kona evaluation method.
RESULTS
The average follow up period after the operation was 16 months and the average duration of immobilization was 2 weeks. All cases showed radiographic union and the average duration until union was 3.1 months. On the functional evaluation using Kona evaluation method, 3 cases excellent, 3 cases good, 2 cases fair, and 1 case showed poor result. The cases with poor result had combined elbow, forearm, and hand fractures at the initial injury. The complication of periprosthetic fracture caused by repeated trauma was reported in 1 case.
CONCLUSION
Polarus IM nailing can result in good clinical and functional results for the treatment of nonunion, plate failure, segmental fracture and fracture of proximal humerus with shoulder dislocation.

Citations

Citations to this article as recorded by  
  • Intramedullary Nailing for Complex Fractures of the Proximal and Midshaft of the Humerus
    Chul-Hyun Cho, Gu-Hee Jung, Kyo-Wook Kim
    Journal of the Korean Fracture Society.2011; 24(3): 237.     CrossRef
  • Periprosthetic Fracture after Proximal Humeral Intramedullary Nail, Treated by Functional Bracing - A Case Report -
    Jae-Hyuk Shin, Ho-Guen Chang, Young-Woo Kim, Nam-Kyou Rhee, Yong-Bok Park, Yong-Kuk Kim
    Journal of the Korean Fracture Society.2011; 24(2): 185.     CrossRef
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