[Primary hemiarthroplasty after complex fracture of the humeral head--functional late results].

Abstract:

UNLABELLED:Treatment of complex fractures of the humeral head remains an obviously unsolved problem. Under consideration of the problems of head preserving methods, the development of the last years tended towards the hemiprosthetic replacement. As the discussion about the methods and implants continues to be controversial, long-term results of Neer-II-replacement of humeral head in own trauma cases are presented here. PATIENTS AND METHODS:46 patients were investigated, in whom a cemented Neer II hemiprosthesis was implanted between 1983 and 1996 due to complex fracture patterns. Median age was 60.2 years, 74 % of patients were female. 59 % had a luxation fracture type Neer VI, 22 % presented a concomitant nerval lesion. Follow up was performed 5 years on average after the operation. 38 patients were investigated clinically according the score of Constant and Murley, 36 had a x- ray control. Additionally an individual questionnaire was completed by 46 patients. RESULTS:Average Constant-score was 66.2 points, whereas in 76.3 % a satisfactory or better result was achieved. In 23.9 % the outcome was poor. In one patient (2.2 %) explantation of the hemiprosthesis and shoulder fusion due to pain was necessary. Conditions for a good result were a patient aged 50 years and younger (75.9 pts. versus 64.2 pts.), an early hemiprosthetic replacement within 4 weeks after the trauma (71.7 pts. versus 55.3 pts.) and a patient without an earlier operation and nerval lesion (76.8 pts. versus 53.9 pts.). No correlation was found between the date of the follow-up and the interval of time since the operation. CONCLUSION:After complex fractures of the humeral head satisfactory long-term results can be obtained by the cemented Neer II hemiprosthesis. Thus, implants of the newer generation can not yet whitness their superiority under consideration of functional aspects. Refixation and reintegration of both the tubercula after trauma still seems to be an unsolved problem and requires further development.

journal_name

Zentralbl Chir

authors

Kollig E,Kutscha-Lissberg F,Roetman B,Mielke E,Muhr G,Hahn MP

doi

10.1055/s-2003-37766

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

125-30

issue

2

eissn

0044-409X

issn

1438-9592

journal_volume

128

pub_type

杂志文章
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    doi:

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  • [A temporary synthetic skin subsitute: SYSpur-derm. Comparative histopathological examination (author's transl)].

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    doi:

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    doi:

    authors: Freitag B

    更新日期:1979-01-01 00:00:00

  • [Blunt abdominal injuries in childhood (author's transl)].

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    doi:

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  • [The use of a thermomechanical cleaning procedure for removal of residual particles of corund blasted or glass bead peened implants in total hip arthoplasty].

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    doi:

    authors: Schmauss AK,Zech U

    更新日期:1981-01-01 00:00:00

  • [Angiodysplasia of the intestine--rational diagnosis and therapy].

    abstract::Vascular ectasias of the gastrointestinal tract are local changes in the development of blood vessels, frequently associated with an arteriovenous shunt. The reported rates of such angiodysplasias have been increased in the past years due to improved diagnostic procedures as well as a general increase in the age of th...

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    doi:

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    doi:

    authors: Hildebrandt J

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  • [Technique and pathophysiology of isolated hypoxic perfusion of the abdomen].

    abstract::Isolated hypoxic perfusion (IHP) is a commonly used technique in the treatment of abdominal malignancies. During a phase II-study the pathophysiology of this technique was explored in patients with advanced pancreatic cancer. Twenty perfusions of the abdomen were performed in 17 patients. Under general anesthesia, fem...

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    doi:

    authors: Petrowsky H,Heinrich S,Janshon G,Staib-Sebler E,Poloczek Y,Gog C,Oremek G,Lorenz M

    更新日期:1999-01-01 00:00:00

  • [Immunosuppression after organ transplantation].

    abstract::Immunosuppression after organ transplantation is based on pharmacologic interventions using steroids, azathioprin, sandimmun and anti-T-cell-globulins. During the induction-period the use of a high-dose combination-therapy guaranties a low incidence of rejection episodes. However infective complications may predominat...

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    pub_type: 杂志文章,评审

    doi:

    authors: Wagner K,Erhard J

    更新日期:1992-01-01 00:00:00

  • [Surgical management of reno-vascular hypertony (author's transl)].

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    doi:

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  • [Differentiated treatment strategy for peritonitis: single stage closure with drainage or open with programmed reintervention/lavage?].

    abstract::307 Patients with intraabdominal infections were operated between 8/1988 to 8/1991. Simple clinical parameters (according to the Mannheimer Peritonitis-Index) were evaluated before treatment. The classical therapeutic concept of one-stage laparotomy with drainage of the abdomen was performed in 223 patients initially....

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    pub_type: 杂志文章

    doi:

    authors: Demmel N,Osterholzer G,Günther B

    更新日期:1993-01-01 00:00:00

  • [Aspergillosis in a thoracic surgery patient sample. 20 years' results].

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    doi:

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    更新日期:1987-01-01 00:00:00

  • [Improved survival rate of postoperative renal failure caused by high volume hemofiltration].

    abstract::Continuous arteriovenous hemofiltration is the treatment of choice for postoperative acute renal failure (ARF). The clinical value of two different treatment modalities (spontaneous vs. pump-driven hemofiltration PDHF) were compared in two groups of patients with postoperative ARF. There were no differences in both gr...

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Inthorn D,Storck M,Hartl WH,Zimmerer E

    更新日期:1991-01-01 00:00:00

  • [What is the value of neoadjuvant therapy in bronchial carcinoma?].

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    pub_type: 杂志文章,评审

    doi:

    authors: Digel W,Brethner L,Hasse J

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    pub_type: 杂志文章

    doi:

    authors: Danzmann E

    更新日期:1977-01-01 00:00:00

  • [Penetrating chest injuries--an indication for early thoracotomy].

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    pub_type: 杂志文章

    doi:

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    更新日期:1987-01-01 00:00:00

  • [Zenker's diverticulum treated by transoral diverticulostomy: technique and results].

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    pub_type: 杂志文章

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    更新日期:2007-10-01 00:00:00

  • [Treatment of the complications of the reflux syndrome and secondary brachyesophagus].

    abstract::Two surgical methods are compared: resection of the stricture and replacement by large bowel (out of 64 cases, 63 were elective and one emergency), and the usual anti-reflux procedures (13 cases). In this series the mortality rate and the functional results are reported as more favourable after resection and replaceme...

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    pub_type: 杂志文章

    doi:

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    更新日期:1979-01-01 00:00:00

  • [Surgical Therapy for Lung Cancer: Why it Should be Performed in High Volume Centres].

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    doi:10.1055/a-0806-8021

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  • [The syndrome of the fifth day (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Weber B

    更新日期:1978-01-01 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Blau HJ

    更新日期:1977-01-01 00:00:00