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KMID : 0386419920050020348
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Journal of the Korean Fracture Society
1992 Volume.5 No. 2 p.348 ~ p.355
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Treatment for Two-part Fracture of the Humerus Surgical Neck by Ender Nailing
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Abstract
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There is no consensus on the best may to treat complicated fractures of the proximal humerus.
We treated two-part surgical neck fractures which were not suitable for conservative method by semi-open reduction and Ender nailing with addition of cancellous bone graft.
This method provided good three-point fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted surgical neck fractures.
Between Jun 1989 and February 1992, Ender nailings were performed for two-part surgical neck fractures, and among those cases 16 were followed for more than 1 year.
@ES The results study were as follows:
1. All cases were treated by semi-open reduction and Ender nailing with additional cancellous bone graft.
2. Ender nails were inserted through retrograde entry in all cases.
3. Complications developed in 3 cases : one case of proximal migration of Ender nail and two of shouler joint partial stiffness.
4. The mean duration of ratiologic bone union was postoperative 9 weeks.
5. According to Neer criteria 11 cases were good, 3 fair and 2 poor results.
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