The proximal humeral fractures. Conservative versus surgical treatment: When and which procedure?

被引：4
作者：
S. Franke
T. Ambacher
机构：
[1] Schulter-und Ellenbogenchirurgie, Arcus Sportklinik, Pforzheim
来源：
Obere Extremität | 2012年 / 7卷 / 3期
关键词：
Conservative treatment; Implants; Proximal humeral fracture; Surgical treatment; Therapeutical options;
D O I：
10.1007/s11678-012-0171-3
中图分类号：
学科分类号：
摘要：
Proximal humeral fractures are the third most frequent in the elderly after proximal femoral and distal radial fractures. The decision between conservative and surgical treatment is challenging and if surgical treatment is indicated one has to choose between different internal fixation methods and arthroplasty. Osteosynthesis in complex displaced fractures shows high complications rates. Recent studies have shown no advantages of osteosynthesis for complex dislocated fractures compared to conservative treatment. If a stable internal fixation cannot be reached arthroplasty should be performed. Reverse fracture arthroplasty should be reserved for the elderly over 75 years of age. © Springer-Verlag 2012.
引用
收藏
页码：137 / 143
页数：6
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