Hackethal Stacked Nailing for Humeral Neck Fractures.

概要

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We report on seven humeral neck fractures treated by Hackethal stacked intramedullary nailing. All fractures were reduced and Kirschner-wires were inserted retrograde through a distal posterior cortical window. Follow-up was possible in 5 patients. The average age of patients was 65 years and the average follow-up was one year and 5 months. The average ROM of the shoulder was 138 degrees in flexion, 154 degrees in abduction and 71 degrees in external rotation. According to Neer's criteria, 4 cases were judged to be excellent and 1 case was satisfactory. Hachethal stacked nailing was a relatively atraumatic method for stabilization of the humeral neck fracture and patients could start early exercize of the shoulder. This method proved effec-tive in stabilization of neck and shaft fractures and pathological fractures.
西日本整形・災害外科学会の論文