Proximal Humeral Fractures with Angle-Stable Plate Osteosynthesis: Is Everything Better Now?
Purpose: Proximal humeral fractures are common in the elderly as distribution peaks in the 6th and 7th decades. Optimal operative strategy regarding complex proximal humeral fractures remains a subject of considerable controversy. The aim of the study was to evaluate implant-associated problems of angle-stable implants in comparison to other established osteosynthetic methods. Methods: A total of 166 patients (98 females and 68 males) with proximal humeral fractures were treated operatively from 2000 to 2004 in our department with a primary angle-stable plate osteosynthesis. Retrospectively we characterized the fracture type by using the Neer classification and assessed the functional results with the Constant score (CS). Results: Overall the average score was 73.4 ± 20 points (range, 22-94 points) compared to the nonaffected side (90.8 ±8 points (46-100 points). The relative score was 80.2% ± 20 (47.5%-98.0%). Patients with anatomic reduction of the fracture showed significantly bette
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