Four-part fracture dislocations of the proximal humerus in young adults: Results of fixation

Orthopaedic Department, Faculty of Medicine, Cairo University, Egypt. Electronic address: .
Injury (Impact Factor: 2.46). 09/2012; 44(4). DOI: 10.1016/j.injury.2012.09.005
Source: PubMed

ABSTRACT Four-part fracture dislocations of the proximal humerus occurring in young age are extremely difficult fractures with a high incidence of complications. The risk of avascular necrosis is high; hence, prosthetic replacement is the treatment of choice in older patients with these complex fractures; on the other hand, the longevity of the prosthesis is the main concern in young age. Thus, every effort should be made to fix these fractures in the young. The purpose of this study is to evaluate the results of fixation in a series of young patients with four-part fracture dislocations; to support the trend to fix these fractures; and reserve prosthetic replacement to older patients.

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