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

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Section

ORIGINAL ARTICLES

How to Cite

1.
The treatment of proximal humeral fractures with a “Polarus” intramedullary nail. Acta Biomed [Internet]. 2014 Sep. 24 [cited 2024 May 28];85(2):25-30. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/3893