Fixation of Displaced Proximal Humeral Fracture Using Transosseous Sutures

Chia-Chun Wu ； Kuo-Hua Chao ； Cheng-Mien Chu ； Chian-Her Lee

《Journal of Medical Sciences》 23卷4期 (2003/08) Pp. 195-199

並列摘要

Background: Eighty-five percent of proximal humeral fractures are minimally or nondisplaced and are effectively treated with early functional exercise. The remaining 15% of fractures are significantly displaced. The purpose of this study was to determine the results of surgical treatment for displaced (2-part or 3-part) proximal humeral fractures using non-absorbable osteosutures. Methods: From January 1993 to December 1997, 14 cases of displaced fracture of the proximal humerus (2 fractures were 3-part, 12 fractures were 2-part) were treated in our hospital with an open reduction and internal fixation using non-absorbable osteosutures. The average age at the time of surgical intervention was 63 (33-86). Ten patients were female and 4 were male. The right side was involved for 5 patients, and the remaining 9 patients had left-sided injuries. Results: After a mean follow-up time of 75 (48-96) months, the average shoulder function, as evaluated by a modified Constant-Murley score, was 89% (63-100%) when compared to the contralateral shoulder. All fractures healed within 3 months, and there were no complication. Conclusions: We suggest that if surgery is indicated for managing displaced proximal humeral fractures, an open reduction and internal fixation using non-absorbable osteosutures is an effective method.

並列關鍵字

displaced fractures ； proximal humerus ； transosseous sutures