Linked Life Data

16622671

Source:http://linkedlifedata.com/resource/pubmed/id/16622671

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2006-8-30
pubmed:abstractText
A retrospective study was designed to evaluate the results of closed reduction and percutaneous pinning using threaded pins as a treatment option for fractures of the humeral head. Patients who suffered two- and three-part fractures of the proximal humerus treated by this method of fixation were included. Fifty patients (32 females and 18 males) with an average age of 50 years were clinically evaluated at an average of 2.5 years after this procedure (range 1-4 years). The Constant score was used to evaluate the clinical outcome. Preoperative and postoperative X-rays were also assessed. Out of 50 patients, 18 (36%) obtained excellent results, 17 (34%) good results, eight (16%) fair results and seven (14%) achieved only poor results. The average Constant score was 81 (range 60-100). Fractures confined to the surgical or anatomical neck generally did better than those associated with a greater tuberosity fragment (average score 86 versus 78). Patients who required shaft stabilisation and in addition to reduction and fixation of the greater tuberosity showed a lower average score (68). There were no cases of avascular necrosis, neurovascular complications or deep infections. A significant loss of fracture position due to failure of internal fixation occurred in seven cases, three of these patients underwent revision surgery. Closed reduction and percutaneous pinning offers a good fracture position and stability with minimal soft tissue damage. We recommend that displaced two- and three- part fractures of the humeral head should be treated in this manner. However these patients should be monitored closely for a period of four weeks, since secondary displacement and failure of fixation can occur in this period. Careful patient selection may minimise these complications.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-10071921, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-10420821, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-10629329, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-10633890, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-10738877, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-3791738, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-5455339, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-8899387, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-9052540, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-9119860, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-9174446, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-9581254, http://linkedlifedata.com/resource/pubmed/commentcorrection/16622671-9867045
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0341-2695
pubmed:author
pubmed:issnType
Print
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
153-7
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
Percutaneous pinning using threaded pins as a treatment option for unstable two- and three-part fractures of the proximal humerus: a retrospective study.
pubmed:affiliation
Orthopaedic Department, Tel Hashomer Hospital, Ramat-Gan, Israel. itay-f@smile.net.il
pubmed:publicationType
Journal Article