The treatment of proximal humeral fractures with a “Polarus” intramedullary nail

The treatment of proximal humeral fractures with a “Polarus” intramedullary nail

Authors

  • C. Dall'Oca Department of Orthopaedic Surgery and Traumatology of the University Hospital of Verona, G.B. Rossi Polyclinic of Verona
  • T. Maluta Department of Orthopaedic Surgery and Traumatology of the University Hospital of Verona, G.B. Rossi Polyclinic of Verona
  • N. Leone Department of Orthopaedic Surgery and Traumatology of the University Hospital of Verona, G.B. Rossi Polyclinic of Verona
  • G. M. Micheloni Department of Orthopaedic Surgery and Traumatology of the University Hospital of Verona, G.B. Rossi Polyclinic of Verona
  • F. Lavini Department of Orthopaedic Surgery and Traumatology of the University Hospital of Verona, G.B. Rossi Polyclinic of Verona

Keywords:

proximal humeral fractures, neer classification, Constant-Murley score, intramedullary nail, Polarus, pull-out, augmentation

Abstract

Proximal humeral fractures are complex lesions with difficult management problems; therefore, they pose a challenge for orthopaedic surgeons. In the literature, numerous treatment techniques have been proposed for these kinds of fractures. In our study we reviewed 30 patients with a mean age of 75 years presenting a proximal humeral fracture (Neer 2-3) and treated at our clinic with a Polarus nail, with a mean follow-up of 7 years. We obtained 73.3% of good and excellent results in line with literature. Complications were recorded in 6 of the patients (20%) recruited in our study. In particular, 3 cases of proximal screw pull-out, 1 case of deep infection and 2 cases of acromio-clavicular joint impingement syndrome. The aim of our study was to review our case histories and compare them with the literature analysing this complex type fracture and treatment options.

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Published

24-09-2014

Issue

Vol. 85 No. 2 (2014): Supplement - SERTOT

Section

ORIGINAL ARTICLES

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

1.
Dall'Oca C, Maluta T, Leone N, Micheloni GM, Lavini F. The treatment of proximal humeral fractures with a “Polarus” intramedullary nail. Acta Biomed [Internet]. 2014 Sep. 24 [cited 2024 Jul. 27];85(2):25-30. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/3893