Articular fracture, Fractures of Posterior Process of Talus : Wheeless' Textbook of Orthopaedics

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Popa" — Iasi B. Material and methods: In the interval forty-seven patients with fractures of the upper extremity of the humerus were assessed both clinically and radiologically.

Mean follow-up was 8.

Fractures of Posterior Process of Talus

The median age was 61 years. The study group included 39 women and articular fracture men, the left shoulder being most commonly affected 33 cases. Cause of injury was accidental fall in 39 cases fall, sports injury in 6 cases, and car crash injury in 2 cases.

Neer classification was used to assess the type of fracture. For qualitative analysis, we used the functional Constant-Murley score in comparison with the contralateral side. The analysis of fracture reduction was based on plain X-rays in anterior-posterior plane and measurement of humeral head tilt relative to diaphyseal shaft.

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Results: No case showed infection, humeral head necrosis occurred in 2 cases, loss of reduction in 3 cases which required repeat reduction, and a subacromial impingement articular fracture in 2 cases.

Average Constant-Murley score was Mean value of reduction angle of the humeral head relative to diaphyseal shaft was Conclusions: Telegraph rods provide a secure fit in articular fracture and simple articular articular fracture of the proximal humerus. When performing a closed anatomical reduction, the method provides good functional results in most patients.

This option should be considered in young patients and even in the elderly, the results being comparable to those obtained by hemiarthroplasty.

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Author Biographies O. Popa" — Iasi Faculty of Medicine B. Popa" — Iasi Faculty of Medicine References 1. Epidemiology of adult fractures: a review.


Epi-demiology of proximal humerus fractures managed in a trauma center. Orthop Traumatol Surg Res. The epidemiology of proximal humeral fractures.

Acta Orthop Scand. Transversal study for the quantification of osteopo-rosis risk in an urban population.

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Identification of bone mass and bone turnover in patients with rheumatoid arthritis treated with corticosteroids in order to elaborate an optimal therapeutic attitude.

Szyskowitz R, Schippinger G. Fractures of the proximal humerus.

Shoulder hemiarthro-plasty in the management of humeral head fractures. Acta Ortop Belg, ; 70 3 : Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal hu-merus plate. Oper Orthop Traumatol. Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate.

Results of a prospective, multicenter, observational study.

J Bone Joint Surg Am. Open reduction and internal fixation of proximal humerus fractures using a prox-imal humeral locked plate: a prospective multicenter analysis. J Orthop Trauma. A prospective clinical study of proximal humerus fractures treated with a locking proximal humerus plate. Locked plate fixation and intramedullary nailing for proximal humerus fractures: a biomechanical evaluation.

J Trauma. A new locking nail articular fracture proximal humerus fractures: the Telegraph nail,technique and preliminary results.

Angle-stable intramedullary nailing of proximal humerus fractures with the PHN proximal humeral nail. The Telegraph nail for proximal humeral fractures: a prospective four-year study. J Shoulder Elbow Surg. Internal fixation of proximal humerus fractures using the T2-proximal articular fracture nail.

In: Arta Medica. ISSN Abstract: Introducere.

Arch Orthop Trauma Surg. Is it worth fixing proximal humeral fractures at increased vascular risk?

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