Treatment of severely displaced proximal humeral fractures in children with retrograde elastic stable intramedullary nailing

被引:61
作者
Fernandez, F. F. [1 ]
Eberhardt, O. [1 ]
Langendoerfer, M. [1 ]
Wirth, T. [1 ]
机构
[1] Olga Hosp, Klinikum Stuttgart, Dept Orthopaed, D-70176 Stuttgart, Germany
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2008年 / 39卷 / 12期
关键词
Proximal humeral fractures; Children; Elastic stable intramedullary nailing (ESIN); Nancy nail;
D O I
10.1016/j.injury.2008.04.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report our experience of elastic stable intramedullary nailing (ESIN) of severely displaced proximal humeral fracture Type III and IV according to Neer in children. Thirty-five children (mean age 12.7 years) with 19 Salter-Harris Type II epiphyseal fractures and 16 children with metaphyseal fractures of the proximal humerus were treated with ESIN by one-nail or two-nail-technique. There were the following complications: two perforations of the nail at the head of the humerus with loss of position, one toss of position without nail perforation, one misplacement of a nail, one revision due to haematoma and two difficult removals of metal. For follow-up examinations after 26 months the children were classified by use of the Constant-Murley score. On average they gained 99 points. All children were able to resume their sporting activities as before. For the treatment of displaced proximal humeral fractures in children more than 10 years old the retrograde ESIN represents a safe minimal invasive surgical procedure. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1453 / 1459
页数:7
相关论文
共 15 条
[1]   Severely displaced proximal humeral epiphyseal fractures: A follow-up study [J].
Beringer, DC ;
Weiner, DS ;
Noble, JS ;
Bell, RH .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1998, 18 (01) :31-37
[2]   Treatment of severely displaced proximal humeral fractures in children with elastic stable intramedullary nailing [J].
Chee, Y ;
Agorastides, L ;
Garg, N ;
Bass, A ;
Bruce, C .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2006, 15 (01) :45-50
[3]  
CONSTANT CR, 1987, CLIN ORTHOP RELAT R, P160
[4]   FRACTURES INVOLVING PROXIMAL HUMERAL EPIPHYSEAL PLATE [J].
DAMERON, TB ;
REIBEL, DB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1969, A 51 (02) :289-&
[5]   Proximal humerus fractures sustained during the use of restraints in adolescents [J].
Hilton, M ;
Yngve, DA ;
Carmichael, KD .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2006, 26 (01) :50-52
[6]  
HOHL JC, 1976, ORTHOP CLIN N AM, V7, P557
[7]  
Knorr P, 2005, EUR J TRAUMA, V311, P12, DOI [10.1007/s00068-005-1076-2, DOI 10.1007/S00068-005-1076-2]
[8]   FRACTURES OF THE PROXIMAL HUMERUS IN CHILDREN - 9-YEAR FOLLOW-UP OF 64 UNOPERATED ON CASES [J].
LARSEN, CF ;
KIAER, T ;
LINDEQUIST, S .
ACTA ORTHOPAEDICA SCANDINAVICA, 1990, 61 (03) :255-257
[9]  
Levine B, 2005, J ORTHOP TRAUMA, V19, P349
[10]   The location of the biceps tendon in completely displaced proximal humerus fractures in children - A report of four cases with magnetic resonance imaging and cadaveric correlation [J].
Lucas, JC ;
Mehlman, CT ;
Laor, T .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2004, 24 (03) :249-253