Objective: To evaluate the follow-up of the fractures treated by external fixator. Methods: A total of 31 children aged 6-15 years with proximal humeral fractures Grade IV according to Neer-Horowitz classification were treated. The medium follow-up was 24 months. Results: In all cases, a good stability of the fracture and a quick healing process were obtained. The mean time of follow-up was 24 months. The external fixation was removed after 6 weeks (5-8 weeks) on average. Constant shoulder score was proposed to all patients and the average result was 97.5 (84-100). Conclusions: Advantages of the external fixation are rapid mobilization of the joint, low invasiveness, a single surgery and the possibility to correct any secondary displacement. It is important to underline that the positioning of external fixator should be implanted by expert surgeons and that the patients must cooperate during the entire process up to the time of the removal of the fixator.
Treatment of acute proximal humeral fractures in children with modular external fixator
Bisaccia, Michele;Manni, Mattia;RINONAPOLI, Giuseppe;COLLELUORI, GIOVANNI;CECCARINI, PAOLO;CARAFFA, Auro
2016
Abstract
Objective: To evaluate the follow-up of the fractures treated by external fixator. Methods: A total of 31 children aged 6-15 years with proximal humeral fractures Grade IV according to Neer-Horowitz classification were treated. The medium follow-up was 24 months. Results: In all cases, a good stability of the fracture and a quick healing process were obtained. The mean time of follow-up was 24 months. The external fixation was removed after 6 weeks (5-8 weeks) on average. Constant shoulder score was proposed to all patients and the average result was 97.5 (84-100). Conclusions: Advantages of the external fixation are rapid mobilization of the joint, low invasiveness, a single surgery and the possibility to correct any secondary displacement. It is important to underline that the positioning of external fixator should be implanted by expert surgeons and that the patients must cooperate during the entire process up to the time of the removal of the fixator.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
