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KMID : 0386419920050010050
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Journal of the Korean Fracture Society
1992 Volume.5 No. 1 p.50 ~ p.56
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A Clinical of Fractures of the Proximal Humerus
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Abstract
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Fracture ofthe proximal humerus occur more frequently in the elderly patients but are seen in all ages. The objectives of treatment are anatomical reduction and restoration of normal function.
In recent years, there hadd been a tendency to advocate operative treatment as the method of choice for certain fractures of the proximal humerus. however, the management of this fracture is still under debate in the elderly patients. After
clinical
analysis of 71 cases of proximal humeral fractures. the followigns were obtained.
The results of treatment were influenced by several factors, osteoporosis in the elderly and the degree of the comminution. Therefore, theresults in the elderly with osteoporosis was more poor than those of the younger patients. The results in
three
among four cases of four-part fracture was poor in spite of operative management. So we recommend conservative treatment initially or minimal osteosynthesis in the treatment of four-part fractures. In fact, the patients showing poor results were
complicated with shouledr joint stiffness respectively.
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KEYWORD
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