Abstract

AZEVEDO, Sérgio; BRANDAO, Manuel; BIA, Ana  and  SOUSA, Rodriguez de. Estabilização Rígida Percutânea em Fraturas Proximais do Úmero. Rev. Port. Ortop. Traum. [online]. 2019, vol.27, n.1, pp.13-22. ISSN 1646-2122.

We intend to share our experience on percutaneous rigid stabilization of proximal humeral fractures. As mentioned by several authors, the 2 and 3 part fractures of Neer classification, could have a major benefit with this method. Materials and methods: Retrospective analysis of 48 patients submitted to percutaneous rigid stabilization of proximal humeral fracture (2 and 3 parts of Neer), between 2008 and 2016 with a mean follow-up of 24,4 months. The surgical and rehabilitation protocol were the same at all cases. Clinical evaluation by Quick Dash (QDS) and Constant Scores (CS), radiographic evaluation (implant failure, lost of reductions, plate positioning, consolidation time, avascular necrosis index), neurologic and infectious complications. Results: Mean age of 66 years old (standard deviation ± 13,98). Mean QDS of 20 (standard deviation ± 11,48). Mean CS of 78 (standard deviation ± 12,8). Didn’t report any major complication. Conclusions: Regarding these type of fractures, the percutaneous rigid stabilization allows an excellent anatomical reduction, excellent fracture fixation and a low index of complications. Our results are according those previously reported considering the final outcomes. The absence of a comparative study with the classic delto-pectoral approach is a limitation of this study.

Keywords : Proximal humeral fractures; Percutaneous rigid stabilization.

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