A comparative study between humeral head prosthesis replacement and internal fixation for treatment of comminuted proximal humeral fractures

• Published in: Nan fang yi ke da xue xue bao = Journal of Southern Medical University Vol. 30; no. 3; p. 560
• Main Authors: Wu, Hao, Cha, Zhen-gang, Lin, Hong-sheng, Hou, Hui-ge, Feng, Yong-hong, Li, Jie-ruo
• Format: Journal Article
• Language: Chinese
• Published: China 01.03.2010
• Subjects: Aged; Arthroplasty, Replacement; Female; Fracture Fixation, Internal - methods; Fracture Healing - physiology; Fractures, Comminuted - etiology; Fractures, Comminuted - surgery; Humans; Humerus - surgery; Joint Prosthesis; Male; Middle Aged; Prosthesis Implantation; Shoulder Fractures - surgery
• ISSN: 1673-4254

To compare the clinical efficacies of humeral head prosthesis and internal fixation in the treatment of comminuted proximal humeral fractures. The clinical data were analyzed for the patients with comminuted proximal humeral fractures undergoing surgeries for humeral head replacement or open reduction plus internal fixation in our hospital between January 2002 and January 2009. Constant scores were used to determine the excellent clinical outcome rates in the two groups, and the operating time, blood loss and postoperative motor scores of the shoulder were compared. Forty patients in the humeral head replacement group were evaluated. According to the Constant scores, excellent outcomes were achieved in 16 patients, good outcomes in 18 patients, moderate in 3 patients, and poor in 3 patients, with an excellent outcome rate of 85%. In the 40 cases receiving open reduction plus internal fixation, excellent outcomes were achieved in 11 cases, good in 13 cases, moderate in 8 cases, and poor in 8 cases, with an exc