Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 26393
UTILISATION OF INTRAMEDULLARY STRUT ALLOGRAFT IN THE
MANAGEMENT OF COMPLEX PROXIMAL HUMERAL FRACTURES
Karthik K, Vijay KAMATH, Amar RANGAN
James cook university hospital, Middlesbrough (UNITED KINGDOM)
We describe the use of an intramedullary strut allograft in 11 patients (three men,
eight women) with complex fracture involving the proximal humerus. The mean age
of the patients was 64.8 years (54 to 72) with the dominant arm affected in nine. Four
of the patients were smokers and two had undergone a period of non operative
management of fracture. All fractures progressed to union at an average time interval
of four months. At the final follow up the average loss of head shaft angle was 6
degrees (0-8) and all the patients had good functional outcome with an average
oxford score of 19.4. This technique has potential technical advantages in the
management of complex proximal humeral fractures especially when the medial
hinge is lost. The rate of union has been encouraging and we recommend it as a
method of treatment.
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