OUTCOMES OF INTERNAL SYNTHESIS OF THE HUMERUS HEAD SPLIT FRACTURES IN YOUNG PATIENTS, A RANDOMISED STUDY

Dritan Todhe

Abstract


PURPOSE: Humerus head split fracture is rare and the importance of correct diagnosis of the type of the fracture is
crucial in order to achieve god result.
METHOD: a retrospective study of humerus head split fracture operated during 2014-2015 in Tirana Albania, classified according the severity of
fracture and age.
RESULTS We have a series of 15 patients < 50 years, who underwent locking plate fixation. We noticed that in a mean of 34 months follow up, 12
of them had united. No osteonecrosis or nonunion was seen in simple fractures (5 patients). In complex fractures (10 patients), osteonecrosis was
seen in 4 patients, nonunion in 2 patients, and glenohumeral arthritis in one patient. We concluded that complex fractures are associated with
higher rates of nonunion, avascular necrosis and inferior shoulder function. We also considered the RSA in the failed cases
CONCLUSION : Although we prefer to consider internal fixation first, we suggest that RSA is to be considered in the first signs of failed,
otherwise the postoperative fibrosis will lead to bad functional results.


Keywords


Humerus head split fracture, internal synthesis, reverse shoulder prosthesis

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References


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