Osteosynthesis in fractures of the neck of the humerus in elderly patients

Cover Page

Cite item

Full Text

Abstract

Special method of strained osteosynthesis for proximal humerus fractures is suggested. Twenty patients, aged 52- 78 years, were operated on by that technique. Primary stiffness of fixator (Y-shape pin) and secondary stiffness created by insertion and blocking of that pin provide stable fixation of fragments without infliction of additional intraoperative trauma. Owing to that the operative method could be successfully used in all patients with proximal humerus fractures independently on patientsage and general condition. Preservation of blood circulation in the fragments, light traumatization of osteosynthesis, possibility of early rehabilitation makes this method perspective for the treatment of fractures in osteoporosis. Efficacy of drug therapy for osteoporosis during postoperative period is shown.

About the authors

A. F. Lazarev

Central Research Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

E. I. Solod

Central Research Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

References

  1. Войтович А.В. и др. //Тезисы докладов зональной науч.-практ. конф. — Новгород,1998. — С. 12-13.
  2. Костандян Л.И. //Хирургия. — 1989. — N 8. — С. 117-118.
  3. Краснов А.Ф., Охотский В.П., Котельников Г.П. //Травматология и ортопедия: Руководство для врачей. — М.,1997.
  4. Ласунский С.А. Лечение переломовывихов проксимального конца плечевой кости у лиц пожилого и старческого возраста: Автореф. дис.... канд. мед. наук. — Л,1988.
  5. Леонов П.Л., Зубиков В.С., Михайлов И.Г. //Материалы Всерос. конф. перспективных ученых по актуальным проблемам травматологии и ортопедии. — М., 2000. — С. 77-78.
  6. Николаев А.П., Лазарев А.Ф., Солод Э.И. //Кремлевская медицина. — 2001. — N 2. — С. 80—82.
  7. Симон Р.Р., Кенингскнехт С.Дж. //Неотложная ортопедия. —- М.,1998.
  8. Травматология и ортопедия: Руководство для врачей /Под ред. Ю.Г. Шапошникова. — М.,1997. — Т. 2.
  9. Шильников В.А., Войтович А.В., Неверов В.А. и др. //Травматол. ортопед. России. — 2002. — N 1. — С. 47-49.
  10. Dohler J.R., Feeser R. //Osteosynthese Int. — 2000. — N 8. — P. 224-227.
  11. Galatz L., Lannotti J.P. //Orthop. Clin. North Am. —2000.— Vol. 31, N 1. — P. 51-61.
  12. Hoffman R., Khodadadayn C. //Zbl. Chir. — 1998. — Bd 123. — S. 1232-1238.
  13. Marsh D.R. //Br. Med. Bull. — 1999. — Vol. 55. — P. 856-869.
  14. Neer C.S. //J. Bone Jt Surg. — 1970. —Vol. 52. — P. 1081.
  15. Persuns D., Tazaux //Eur. J. Orthop. Traum. — 1998. — N 8. — P. 41-45.
  16. Rowley D.J. //Eur. Instructional Course Lectures. —2000. — Vol. 5. — P. 24-27.
  17. Stimson B.B. A manual of fractures and dislocations. — 2nd ed. — Philadelphia,1947.
  18. Szyskowitz R., Schippinger G. //Unfallchir. — 1999. — Bd 102. — S. 422-428.
  19. Weber E., Matter P. //Swis Surg. — 1998. — Vol. 4. — P. 95-100.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Scheme of osteosynthesis of a two-fragment fracture of the surgical neck of the shoulder with Y-shaped wires.

Download (178KB)
3. Fig. 2. Scheme of osteosynthesis of a three-/four-fragment fracture of the surgical neck of the shoulder with Y-shaped wires with additional anchor fixation.

Download (169KB)
4. Fig. 3. Patient B., 67 years old. Two-part fracture of the surgical neck of the right humerus. a — radiographs before surgery; b — radiographs after osteosynthesis with Y-shaped wires; (c) radiograph 2.5 months later: union of the fracture; d — function of the shoulder joint after 2.5 months.

Download (1MB)
5. Fig. 4. Patient G., 56 years old. Three-fragment fracture of the surgical neck of the right humerus. a — radiographs before surgery; b — radiograph after osteosynthesis with Y-shaped wires with additional anchor fixation of the large tubercle; c — radiographs, d — function of the shoulder joint 3 months after surgery: metal fixators were removed, the fracture healed, the function of the joint was restored.

Download (1MB)

Copyright (c) 2003 Eco-Vector



Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).