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Functional Outcome after Simultaneous Bilateral Four-Part Proximal Humerus Fracture : A Comparison of ORIF and Hemiarthroplasty in an Individual Patient
Joint Authors
Harrington, Paul
Ellanti, Prasad
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Simultaneous bilateral four-part proximal humeral fractures are rare.
Four-part fractures of the proximal humerus are difficult for the patient and technically demanding for the surgeon.
Our surgical tactic is to attempt open reduction and internal fixation where possible.
We report the functional outcome in a 56-year-old female who sustained simultaneous bilateral four-part proximal humeral fractures after falling down a flight of stairs.
Open reduction and internal fixation using threaded pins and tension band suture was performed on one side, and shoulder replacement hemiarthroplasty was required on the other.
Functional assessment was undertaken at two years after surgery, using the Oxford Shoulder Score.
Although the objective outcomes assessment revealed little difference, the patient herself expressed a preference for the side treated by internal fixation.
We conclude that an attempt to retain the native humeral head and the surgical tactic that favours internal fixation where possible is appropriate in these injuries.
Excellent function can be achieved following hemiarthroplasty for trauma in a fit patient.
American Psychological Association (APA)
Ellanti, Prasad& Harrington, Paul. 2012. Functional Outcome after Simultaneous Bilateral Four-Part Proximal Humerus Fracture : A Comparison of ORIF and Hemiarthroplasty in an Individual Patient. Case Reports in Orthopedics،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-510052
Modern Language Association (MLA)
Ellanti, Prasad& Harrington, Paul. Functional Outcome after Simultaneous Bilateral Four-Part Proximal Humerus Fracture : A Comparison of ORIF and Hemiarthroplasty in an Individual Patient. Case Reports in Orthopedics No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-510052
American Medical Association (AMA)
Ellanti, Prasad& Harrington, Paul. Functional Outcome after Simultaneous Bilateral Four-Part Proximal Humerus Fracture : A Comparison of ORIF and Hemiarthroplasty in an Individual Patient. Case Reports in Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-510052
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510052