OPERATIVE RESULTS OF PROXIMAL HUMERAL FRACTURE BY MODIFIED HACKETHAL BUNDLE NAILING

• Published in: Japanese Journal of National Medical Services Vol. 55; no. 6; pp. 271 - 276
• Main Authors: MURAZOE, Yoshinori, IMAKIIRE, Atsuhiro, UENO, Ryuichi, KASAHARA, Takao, SOGA, Makoto, ISHII, Tsuguo
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 2001; 一般社団法人 国立医療学会
• Subjects: hackethal bundle nailing; Hackethal集束釘固定術; internal fixation; proximal humeral fracture; 上腕骨近位端骨折; 内固定
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.55.271

Though, Hackethal bundle nailing is known as the technique for the internal fixation of humeral shaft fracture commonly, we've adapted this technique for proximal humeral fracture fixation with changing some surgical procedures from 1988. It is reported that the results of retrospective study of 28 patients treated with this technique (H-method). As with an average bone union period, in the case of 2 parts fracture, it was 2.9 months with conservative therapy, 2.8 months in the patients treated by the H-method. As with the JOA score, in the case of 2 parts fracture, patients with conservative therapy obtained 95 points on average, patients treated by the H-method 91.0 points, In the case of 3 parts fracture, patients with conservative therapy obtained 85 paints on average, patients treated by the H-method 95. Thus, in the case of 3 parts fracture, patients treated by the H-method had better results. Shoulder range of motion recovery period, was 3.7 months on average in patients with conservative therapy and 2.9 months in patients treated by the H-method, so the H-method was better. The surgical technique of H-method was easier and less invasive with good results as a treatment method for 2 parts and 3 parts fractures. Therefore, the H-method may be an excellent surgical method applicable not only to humeral shaft fracture but also to proximal humeral fracture.