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Clin Shoulder Elbow > Volume 6(2); 2003 > Article
Journal of the Korean Shoulder and Elbow Society 2003;6(2):149-160.
DOI: https://doi.org/10.5397/CiSE.2003.6.2.149    Published online December 30, 2003.
Open Intramedullary Nail with Tension Band Sutures on Proximal Humeral Fracture
Jin-Young Park, M.D., Jin-Woo An, M.D., Sung-Churl Lee, M.D.
Department of Orthopedic Surgery Dankook University college of Medicine, Chonan, Korea
상완골 근위부 골절에 시행한 긴장 대 봉합을 동반한 관혈적 골수강내 고정술
박진영, 안진우, 이성철
단국대학교 의과대학 정형외과학교실
Abstract
Purpose
to determine the results after open intramedullary nailing and tension band suture technique in proximal humerus fracture for improving the stability and decreasing the complications. Materials and Method: Authors reviewed 27 patients treated by open intramedullary nailing and tension band suture technique. Mean follow-up period was 39 months (24-59months). Surgical neck fracture were 6 cases, surgical neck fracture with shaft fracture were 3 cases, three part fracture with greater tuberosity fracture were 17 cases, four part fracture was 1 case and fracture and dislocation were 2 cases Results: We got the bony union in 26 cases. Average pain scale was 1 point (0-6), Neer score was 86 point(45-99) and ASES score was 85 point(40-100). We separate all cases in two groups based on age (65 years), L-spine t-score (-2.5) and Neer classification (2 and 3 part). There is no significance in pain scale, Neer score and ASES score between each group. Conclusion: As a method of surgical treatment on severe proximal humeral fractures, we recommend intramedullary nailing and tension band suture technique and it may have particular advantages in early exercise and satisfactory functional outcome.
Key Words: Fracture, Tension band suture, Intramedullary nailing, Proximal humerus, Shoulder.


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