Cic edizioni internazionali
Clinical Cases in mineral and bone metabolism

Reliability and value of external modular fixation (Hoffmann II®) in the management of humeral shaft fracture

Original Article, 423 - 427
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Abstract
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Introduction. Many studies have reported conflicting results regarding external fixation for displaced proximal humeral fractures. The aim of this study is to evaluate the outcome of humeral shaft fractures treated with external fixation which, in our opinion, can be considered a valid method not only in emergency but also for the definitive management.
Methods. A total of 37 patients aged 21-82 years with proximal humeral shaft fractures, classified according to AO classification were treated with External Fixator Hoffman II from January 2011 to January 2014 with a mean follow-up of 11.5 months. For the clinical evaluation the Constant Shoulder Score was used.
Results. 75.7% of patients reported excellent results and satisfaction after this type of surgery.
Conclusion. From the results of our study it is concluded that the treatment of humeral shaft fractures with external fixators provide similar results as those of other techniques. The technique is simple, has a short learning curve and is associated with minimal complications because of its minimal invasive nature.

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