Tratamento cirúrgico das fraturas do úmero proximal com haste intramedular proximal travada
Keywords:
Humeral fractures, Humerus/Surgery, lntramedullaryAbstract
Fractures of the proximal humerus may be treated by non-surgical or surgical methods. Among surgical methods, we have: closed reduction and fixation with pins or locked nails, open reduction and fixation (with plates, pins or bandages) and arthroplasties. The authors present a technique of closed reduction and fixation of the two parts proximal humeral fractures (surgical neck) with a proximal locked nail.
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References
Codman EA. The Shoulder. Boston: T. Todd; 1934.
Neer CS. Displaced proximal humerus fractures. Part I. Classification and Evaluation. J Bone Joint Surg(A) 1970; 52: 1077- 89.
Menniti EL, Brasil Fº R, Filardi Fº CS, Baptista MV, Daher SS. Banda de tensão intramedular com parafusos em fratura do colo do úmero em duas e três partes: "sistema para-quedas". Rev Bras Ortop 1997; 32: 713-17.
Bigliani LU, Flatow EL, Pollock RG. Fraturas do úmero proximal. In: Rockwwod CA Jr, Matsen III FA. Ombro. Rio de Janeiro: Revinter; 2002. p. 337-391.
Hawkins RJ, Kiefer GN. Internal fixation techniques for proximal humeral fractures. Clin Orthop 1987; 223: 77-85.
Lin J, Hou SM, Hang YS. Locked nailing for displaced surgical neck fractures of the humerus. J Trauma 1998; 45: 1051-7.
Riemer BL. Intramedullary nailing of the humerus. In: The Science and Practice of Intramedullary Nailing. Baltimore: Williams & Williams; 1996. p. 241-63.
Rüedi TP, Murphy, WM. Úmero proximal. In: Princípios AO do Tratamento de Fraturas. Porto Alegre: Artmed; 2002. p.271-289.
Stedtfeld HW, Attmanspacher W, Thaler K, Frosch B. Fixation of humeral head fractures with antegrade intramedullary nailing. Zentralbl Chir 2003; 128(1): 6-11.
Szyszkowitz R, Seggl W, Schleifer P, Cundy PJ. Proximal humeral fractures: management techniques and expected results. Clin Orthop 1993; 292: 13-25.
Bernard J, Charalambides C, Aderinto J, Mok D. Early failure of intramedullary nailing for proximal humeral fractures. Injury 2000; 31: 789-92.
Riemer BL, D'Ambrosia R. The risk of injury to the axillary nerve, artery, and vein from proximal locking screws of humeral intramedullary .nail. Orthopedics 1992; 5: 697-99.
Blum J, Rommens PM. Proximal interlocking of humeral intramedullary nails and risk of axillary nerve injury. Unfallchirurg 2002; 105(1): 9-13.
