BACKGROUND The purpose of our study was to evaluate the objective and subjective outcomes, as well as the radiographic results after elbow hemiarthroplasty (HA) for comminuted distal humerus fractures in elderly patients. METHODS Ten female patients with a mean age of 75.2 years were treated with elbow HA either for osteoporotic, comminuted distal humerus fractures (n = 8) or for early failed...

BACKGROUND Displaced proximal humeral fractures remain a challenge to orthopedic surgeons. OBJECTIVES The purpose of this study was to evaluate the functional and radiological outcomes of patients with comminuted proximal humeral fractures treated with closed reduction and percutaneous screw fixation (CRPF). MATERIAL AND METHODS The authors retrospectively reviewed 38 cases of displaced pro...

conclusions due to the shorter :union: time, to some extent less complication rate and comparable functional and clinical results, the authors recommend to use the mipo technique in treating the mid-distal humeral shaft fracture. results the median of :union: time was shorter in the mipo group (4 months versus 5 months). the time of surgery and functional outcomes based on the ucla and meps sco...

We treated 49 patients at an average age of 80 years (75 to 90) with distal mostly intraarticular humeral fractures by open reduction. There were 8 class A, 13 class B and 28 class C fractures on Müller's classification. The patients were reviewed at a postoperative average of 18 months. The patients' assessment of the result was very good in 31%, good in 49%, fair in 15% and poor in 5%. The fl...

Various types of external fixators have been used to treat Ruedi and Allgöwer Type III pilon fractures, as serious complications can occur using conventional treatment principles. However, insufficient reduction and loss of reduction are the two main disadvantages of external fixator treatments. This is a case series involving 15 patients with comminuted closed fractures of the distal tibia (Ru...

BACKGROUND Proximal humeral fractures are common lesions of the elderly, but there are no established treatment guidelines. A surgical treatment for comminuted and displaced fractures of the proximal humerus was developed and is still evolving. The aim of this study was to perform a quantitative review to evaluate the risk of avascular necrosis (AVN) in patients with proximal humeral fractures ...

PURPOSE To evaluate early functional outcomes of hemiarthroplasty for 3- or 4-part proximal humeral fractures. METHODS 16 men and 11 women aged 27 to 83 (mean, 56) years underwent hemiarthroplasty for comminuted 3-part (n=13) or 4-part (n=14) proximal humeral fractures. All the patients reported normal shoulder function prior to injury. The range of shoulder motion and muscle power were evalu...

BACKGROUND Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality. Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals. METHODS We performed a literature search in the da...

Proximal humerus fractures are common and have a bimodal age distribution. Fracture-dislocations in younger patients result from highenergy trauma and most surgeons attempt open reduction and internal fixation, if at all possible. Osteoporotic fractures in elderly patients are commonly associated with low-energy trauma such as groundlevel falls and most are minimally displaced, impacted fractur...

Fractures of the proximal humerus are common and the treatment for both displaced and comminuted variants remains controversial. Treatment options initially consisted of closed reduction, traction, casting, and abduction splints. In the early 1930s, operative treatment for displaced fractures gained popularity, which continued in the 1940s and 1950s. Humeral head replacement for severely displa...