Treatment of Two-Part Fracture of Humerus Neck Using T Plate Fixation

doi:2006.9.1.34

Clin Shoulder Elb > Volume 9(1); 2006 > Article

Journal of the Korean Shoulder and Elbow Society 2006;9(1):34-41.
DOI: https://doi.org/10.5397/CiSE.2006.9.1.034 Published online June 30, 2006.

Treatment of Two-Part Fracture of Humerus Neck Using T Plate Fixation

Il-Hyun Nam, Gil-Yeong Ahn, Ho-Hyun Yun, Jae-cheol Kim, Gi-Hyuk Moon

Department of Orthopaedic Surgery, Pohang St. Mary’s Hospital, Korea

상완골 경부 이분 골절에서 T형 금속판을 이용한 치료

남일현, 안길영, 윤호현, 김재철, 문기혁

포항성모병원 정형외과

Abstract

Purpose
This study is to analyze the result and complications of internal fixation with T-plate for two-part fracture Materials and Methods: The clinical results of fourteen patients who had been performed with this method mentioned above were reviewed. Their average age was 49.6. Postoperative mean follow up period was 24.1 months. Radiological evaluation was done by Kronberg’s and shoulder function by Neer’s. Results: By Kronberg evaluation, nine cases were good, two cases acceptable and three cases poor. By Neer’s, mean score of shoulder function was 77.6 and 4 cases were excellent, one satisfactory, five unsatisfactory and four failure. The complications were the sfiff shoulder, loss of reduction and avascular necrosis of humeral head. Conclusion: In this study, there were differences according to the age. And we obtained an unsatisfactory result in patients over 50 years old. We consider that in patients over 50 years old, the differences were due to the muscle weakness through wide surgical approaches, postoperative implant loosening or the stiffness caused by poor rehabilitation.

Key Words: Humerus neck, Two-part fracture, T Plate