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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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Original Articles
Cannulated Screw Fixation for 4 Part Fractures of the Neck of Humerus
Ho Jung Kang, Doo Hyung Lee, Hong Kee Yoon, Soo Bong Hahn
J Korean Fract Soc 2005;18(4):432-436.   Published online October 31, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.4.432
AbstractAbstract PDF
PURPOSE
To analyze radiological and functional results after open reduction and internal fixation for fractures of the neck of humerus (4-part) using cannulated screws. MATERIAL AND METHODS: Between January 1997 and April 2004, 11 patients with neck of humerus fracture (4-part) were treated operatively by open reduction and internal fixation with cannulated screws. Two surgical approaches (deltopectoral for 9 cases and deltoid splitting for 2 cases) were used. The mean age was 36 years old and the mean duration of follow-up was 56 months. ASES (American Shoulder and Elbow Surgeons) score was checked to evaluate the function in shoulder joint. We used 2 cannulated screws in 2 cases, 3~4 screws in 6 cases and over 5 screws in 3 cases for fixation. In 2 cases, K-wires were used additionally and autoiliac bone graft was done in 1 cases which had poor bone mass.
RESULTS
All cases got bony union at 5.6 months on average. In functional assessment of shoulder, eight patients got excellent, one got good points. There were complications including shoulder stiffness in 2 cases, avascular necrosis of humeral head in 1 case and subacromial impingement syndrome in 1 case.
CONCLUSION
Internal fixation using cannulated screws for fractures of humerus neck (4 part) showed good bony union and functional results in patients under 50 years old who had average bone quality.

Citations

Citations to this article as recorded by  
  • The Surgical Outcomes for Isolated Greater Tuberosity Fracture of Proximal Humerus
    Eun-Sun Moon, Myung-Sun Kim, Young-Jin Kim
    Journal of the Korean Fracture Society.2007; 20(3): 239.     CrossRef
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Displaced surgical neck fractures of humerus treated with pinning
Ju Hai Chang, Jong Min Sohn, Won Jong Bahk, Joon Taek Kong
J Korean Soc Fract 1992;5(1):65-71.   Published online May 31, 1992
DOI: https://doi.org/10.12671/jksf.1992.5.1.65
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No abstract available.
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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
© The Korean Fracture Society.
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