Doo-Sup Kim; Dong-Kyu Lee; Chang-Ho Yi; Jang-Hee Park; Jung-Ho Rah

doi:10.12671/jkfs.2011.24.2.144

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Original Article
Comparison of Results between Internal Plate Fixation and Hemiarthroplasty in Comminuted Proximal Humerus Fracture: Doo-Sup Kim, M.D., Dong-Kyu Lee, M.D., Chang-Ho Yi, M.D., Jang-Hee Park, M.D., Jung-Ho Rah, M.D.; Journal of the Korean Fracture Society 2011;24(2):144-150.
DOI: https://doi.org/10.12671/jkfs.2011.24.2.144
Published online: April 19, 2011

Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.

Address reprint requests to: Jung-Ho Rah, M.D. Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, 162, Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-1354, Fax: 82-33-746-7326, dskim1974@hanmail.net

• Received: September 24, 2010 • Revised: January 1, 2011 • Accepted: March 4, 2011

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Abstract
REFERENCES

Abstract

Purpose
Authors compare clinical and radiological results of internal fixation group and hemiarthroplasty group for comminuted proximal humerus fracture to find out which the treatment method have to be chose for comminuted proximal humerus fractures.
Materials and Methods
Patients who were treated from March 2005 to March 2007 and available for 2 years follow-up were targets of this study. The internal fixation group had 38 cases, and hemiarthroplasty group included 26 cases. The results were analyzed both clinically and radiologically.
Results
On average, Bone union took 15.6 weeks in the internal fixation group. Constant score between the internal fixation and hemiarthroplasty groups were on average 75±6.5 points and 70±7.4 points (p=0.034). In 3-part fracture, Constant score between both groups were 78±5.4 points from the former and 71±2 points, respectively (p=0.028). In 4-part fracture group, Constant score were 72±8 points for the internal fixation group and 69±9.2 points for the hemiarthroplasty group (p=0.041).
Conclusion
Internal plate fixation can gain better outcome than hemiarthroplasty in 4-part fracture as well as 3-part fracture of proximal humerus by careful dissection for preservation of blood supply for humeral head and optimal reduction.
Key words: Comminuted proximal humerus fracture, Internal fixation, Hemiarthroplasty

REFERENCES

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Fig. 1

(A) The initial simple radiograph taken in the emergency room of a 54-years old female show comminuted proximal humerus fracture.

(B) Internal fixation was done with a plate and screws 1 day after the injury.

(C) Follow up radiograph was taken 24 weeks after surgery, bony union was achieved.

Fig. 2

(A) The initial simple radiograph taken in the emergency room of a 68-years old male show comminuted proximal humerus fracture (4-part).

(B) Hemiarthroplasty was performed 4 days after surgery.

(C) Follow up radiograph was taken 18 weeks after surgery. The radiograph shows stable fixation of implant.

Table 1

Dermographic data on the patients

Table 2

Comparison of outcome scores for individual parameters

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 3

Comparison of outcome scores for individual parameters for 3-part fracture

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 4

Comparison of outcome scores for individual parameters for 4-part fracture

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Surgical treatment of proximal humerus fractures: a systematic review and meta-analysis
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Effectiveness and Safety of Interventions for Treating Adults with Displaced Proximal Humeral Fracture: A Network Meta-Analysis and Systematic Review
Long Chen, Fei Xing, Zhou Xiang, Ara Nazarian
PLOS ONE.2016; 11(11): e0166801. CrossRef
Meta-analysis comparing locking plate fixation with hemiarthroplasty for complex proximal humeral fractures
Jiezhi Dai, Yimin Chai, Chunyang Wang, Gen Wen
European Journal of Orthopaedic Surgery & Traumatology.2014; 24(3): 305. CrossRef

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Comparison of Results between Internal Plate Fixation and Hemiarthroplasty in Comminuted Proximal Humerus Fracture

J Korean Fract Soc. 2011;24(2):144-150. Published online April 30, 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.2.144

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Comparison of Results between Internal Plate Fixation and Hemiarthroplasty in Comminuted Proximal Humerus Fracture

Fig. 1 (A) The initial simple radiograph taken in the emergency room of a 54-years old female show comminuted proximal humerus fracture. (B) Internal fixation was done with a plate and screws 1 day after the injury. (C) Follow up radiograph was taken 24 weeks after surgery, bony union was achieved.

Fig. 2 (A) The initial simple radiograph taken in the emergency room of a 68-years old male show comminuted proximal humerus fracture (4-part). (B) Hemiarthroplasty was performed 4 days after surgery. (C) Follow up radiograph was taken 18 weeks after surgery. The radiograph shows stable fixation of implant.

Fig. 1

Fig. 2

Comparison of Results between Internal Plate Fixation and Hemiarthroplasty in Comminuted Proximal Humerus Fracture

Table 1

Dermographic data on the patients

Table 2

Comparison of outcome scores for individual parameters

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 3

Comparison of outcome scores for individual parameters for 3-part fracture

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 4

Comparison of outcome scores for individual parameters for 4-part fracture

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 1 Dermographic data on the patients

Table 2 Comparison of outcome scores for individual parameters

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 3 Comparison of outcome scores for individual parameters for 3-part fracture

^*ADL: Activities of daily living, ^†ROM: Range of movements.

Table 4 Comparison of outcome scores for individual parameters for 4-part fracture