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Journal of the Korean Shoulder and Elbow Society 1999;2(2):187-198.
Published online December 30, 1999.
The Results of Ender Nailing for the Proximal Humerus Fractures - Radiological Evaluation -
Jin Soo Park, Moon San Chung, Kang Sub Yoon, Goo Hyun Ba다, Ji Ho Lee, Seung Baek Kang, Dong Wook Kim
Department of Orthopaedic Surgery, Seoul Muncipal Boramae Hospital Department of Orthopaedic Surgery, College of Medicine, Seoul National University
상완골 근위부 골절의 Erlder 정을 이용한 치료 결과-방사선학적 분석 -
박진수, 정문상, 윤강섭, 백구현, 이지호, 강승백, 김동욱
서울시립 보라매병원 정형외과 서울대학교 의과대학 정형외과학교실
Abstract
Purpose
The authors compared the results of Ender nailing for the proximal humerus fractures with those of the conservative methods radiographically. Materials and Method: Nine patients(mean age: 69 years.) received Ender nailing, and the other nine patients, conservative treatments(mean age: 73 years). All fractures were 2 part fractures. The Ender nails were inserted either through posterior elbow approach or transepicondylar approach. A simple Velpeau bandage was applied to the conservative treatment group. The average follow-up was 15 months. Results: The initial status of the anatomical reduction, i.e., the values of the medial shift, overlapping and the varus agulation, were little changed at follow-up radiographs in both the Ender nailing group and the conservative treatment group. There was no significant difference for the status of anatomical reduction between the Ender nailing group and the conservative treatment group. The stability of fixation by Ender nails, i.e., the degree of fanning out of the nails was poor in most cases. Not a few problems/complications happened in cases of Ender nailing group; back­ing out of the nail in three cases, penetration of the nails into the humeral heads in 3, fractures or cracking of the humerus around the nail insertion area in 4 and reduction loss in one. Conclusion: We could not get better results with the use of Ender nail. We use no longer Ender nails for the proximal humerus fractures. Further studies are needed for the better option for the proximal humerus fractures.
Key Words: Proximal humerus; Fracture; Ender nail


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