Abstract
Introduction
Fractures of the proximal humerus are very common, but controversy still exists about the preferred type of operative treatment in displaced fractures.
Materials and methods
We followed 15 patients (12 female and 3 male, average age 70 years) with 15 dislocated type II (9) and III (6) proximal humeral fractures after helix wire osteosynthesis.
Results
A nonunion developed in seven cases (47%). Three patients were reoperated (prosthesis: 2, repair: 1). Seven patients were available for follow-up (average: 14 months). Three patients had a Constant score of 80 or more and four patients had a score under 70 points.
Conclusion
The results of the helix wire osteosynthesis for proximal humeral fractures are poor and we do not recommend its further use.
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Raissadat, K., Struben, PJ. & van Loon, C.J.M. Helix wire osteosynthesis for proximal humeral fractures: unacceptable nonunion rate in two- and three-part fractures. Arch Orthop Trauma Surg 124, 166–168 (2004). https://doi.org/10.1007/s00402-003-0635-4
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DOI: https://doi.org/10.1007/s00402-003-0635-4