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The Journal of Bone and Joint Surgery (American) 85:136-146 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Stabilization of Proximal Humeral Fractures with an Angular and Sliding Stable Antegrade Locking Nail (Targon PH)

Th. W.F. Mittlmeier, MD, PHD, H.-W. Stedtfeld, MD, PHD, A. Ewert, MD, M. Beck, MD, B. Frosch, MD and G. Gradl, MD

Corresponding author:
Th. W.F. Mittlmeier, MD, PhD
Chirurgische Klinik und Poliklinik der Universitaet Rostock,
Abteilung für Unfall und Wiederherstellungschirurgie,
Schillingallee 35, D-18055 Rostock, Germany. E-mail address:
thomas.mittlmeier@med.uni-rostock.de

The first 150 words of the full text of this article appear below.

Decision-making in the treatment of proximal humeral fractures is generally based on individual parameters such as the biological age and activity level of the patient, the quality of bone, and specific fracture parameters such as the degrees of displacement and instability1,2. Nondisplaced fractures and fractures with minimal displacement and adequate stability are usually successfully treated nonoperatively1-3. There is a certain consensus that displaced four-part fractures with a high degree of comminution, fracture-dislocations, and head-splitting fractures in the elderly should be treated with primary hemiarthroplasty1-4. However, the recommendations for the treatment of displaced three or four-part fractures of the proximal part of the humerus remain controversial1-3. A variety of treatment techniques has been proposed, and a wide range of functional outcomes has been reported5-22. An extended exposure of the fracture elements and the use of bulky hardware for internal fixation may increase the risk of osteonecrosis . . . [Full Text of this Article]


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