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  • Title: [Clinical analysis of 19 elderly patients with displaced proximal humeral two- and three-part fractures].
    Author: Mo XF, He ZJ, Zhuo XM, Liu XY, Zeng XM, Guo JE, Zhou XM.
    Journal: Di Yi Jun Yi Da Xue Xue Bao; 2004 Sep; 24(9):1080-1. PubMed ID: 15447872.
    Abstract:
    OBJECTIVE: To analyze the surgical approaches for treating displaced proximal humeral two-and three-part fractures in elderly patients. METHODS: Nineteen elderly patients with displaced proximal humeral fractures were analyzed, including 13 patients with displaced two-part fractures and 6 with displaced three-part fractures. All the patients were treated by open reduction and fixation with humeral anatomical bone plates. RESULTS: The rate of excellent or good healing was 76.9% for two-part fractures without nonunion or humeral head necrosis, and was 66.7% for three-part fractures with a rate of humeral head necrosis of 16.7%. CONCLUSION: Displaced proximal humeral fractures in elderly patients should be managed with minimal open reduction and fixed with humeral anatomical bone plate.
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