CLOSED PERCUTANEOUS K-WIRE STABILIZATION FOR DISPLACED FRACTURES OF THE SURGICAL NECK OF THE HUMERUS

被引:43
作者
KOCIALKOWSKI, A [1 ]
WALLACE, WA [1 ]
机构
[1] UNIV NOTTINGHAM HOSP,QUEENS MED CTR,DEPT ORTHOPAED & ACCID SURG,NOTTINGHAM NG7 2UH,ENGLAND
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1990年 / 21卷 / 04期
关键词
D O I
10.1016/0020-1383(90)90003-D
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report a series of 22 displaced fractures of the proximal humerus treated by percutaneous Kirschner wire stabilization. Poor results (69 per cent) in the older age group of patients is a reflection of the severity of the fracture and the difficulties of dosed reduction. Reduction in a poor position in this series has led to a poor range of movement. Good functional results can only be expected with a good reduction. Experience of migration with smooth K-wires has resulted in a strong recommendation for the use of threaded pins. © 1990.
引用
收藏
页码:209 / 212
页数:4
相关论文
共 6 条
[1]  
Hagg, Lundberg, Aspects of prognostic factors in comminuted and dislocated proximal humeral fractures, Surgery of the Shoulder, (1984)
[2]  
Jakob, Kristiansen, Mayo, Et al., Classification and aspects of treatment of fractures of the proximal humerus, Surgery of the Shoulder, (1984)
[3]  
Neer, Displaced proximal humeral fractures. Part I. Classification and evaluation, J. Bone Joint Surg., 52 A, (1970)
[4]  
Saha, Mechanism of shoulder movements and a plea for the recognition of ‘zero position’ of glenohumeral joint, Clin. Orthop., 173, (1983)
[5]  
Wallace, Bunker, Management of proximal humeral fractures, Frontiers in Fracture Management, (1989)
[6]  
Young, Wallace, Conservative treatment of fractures and fracture-dislocations of the upper end of the humerus, J. Bone Joint Surg., 67 B, (1985)