Article

The aim of this study is to compare functional and radiological
results of two surgical techniques in treatment of proximal humeral fractures.
METHODS: A prospective study was performed, which included 12
patients operated for a proximal humeral fracture by open reduction and internal
fixation using an anatomical humeral plate, and another group of patient (14
patients) treated for the same lesion using a palm tree pinning technique of
Kapandji. The comparison of results of the two techniques was based on three
parameters: the time of healing, quality of reduction, and the functional result.
The global mean age was 48.6 (+/-13,7), and the sex ratio (M/W) was 1. RESULTS:
Statistical analysis of functional and radiological results showed no superiority
of one technique over another; so the mean time of healing was 6.1 (+/- 0.7)
weeks in the group treated by plate, and 6 (+/- 0.7) weeks in the group treated
by pinning (P=0.5), the mean absolute Constant score was respectively 86
(+/-10.4) and 90.92 (+/-2.5) (P=0.09), and the mean measuring of cephalic angle
was respectively 46.91 (+/-17.68) and 55.71 (+/-19.48) (P=0.24). CONCLUSION:
Univariate analysis showed no statistically significant association between
endpoints and the two surgical techniques studied. Therefore the study showed no
statistical superiority of one surgical technique over another.
CI - Copyright (c) 2013. Published by Elsevier SAS.

Langue : FRANCAIS