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A new internal fixation technique for fractures of the proximal humerus - the Bilboquet device
DOURSOUNIAN L; GRIMBERG J; CAZEAU C
J SHOULDER ELBOW SURG , 2000, vol. 9, n° 4, p. 279-288 Doc n°: 97466 Localisation : Documentation IRR Descripteurs : MA - GERONTOLOGIE, DD361 - TRAITEMENT CHIRURGICAL - EPAULE We describe a novel internal fixation device and report on 26 patients (mean age, 70 years) whose proximal humeral fractures were managed with this technique. The 2-part titanium implant consists of a circular staple impacted into the humeral head cancellous bone and a spigoted diaphyseal stem that inserts into the staple "cup." Of the 26 cases reviewed, 16 had 3-part fractures and 10 had 4-part fractures. Mean follow-up was 25.9 months. In the 16 3-part fractures, the mean active forward elevation was 114 degrees and the results were as follows: excellent, 7; good, 5; fair, 3; poor, 1. In the 10 4-part fracture patients, the mean active forward elevation was 101 degrees and the results were as follows: excellent, 2; good, 4; fair, 3; poor, 1. There were 5 cases of avascular necrosis and 1 case of tuberosity nonunion. Only 2 cases needed conversion to hemiarthroplasty. The new technique should simplify the surgery of these fractures and reduce the need for arthroplasty. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2000213392 |
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