Treatment of Proximal Humeral Fractures.

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When treating proximal humeral fractures, we first performed continuous traction in the direction of the Zero-position, the so called Zero-traction. Since 1992, we have experienced fourteen patients with this fracture. Typing and clinical assessment were done according to the Neer classification and score system. Twelve cases were conservatively treated; nine with Zero-traction, one with a hanging cast, one with a Velpeau stockinette, and one with resting recumbency. Two cases were surgically treated; one with fixation using K-wires, and one with a prosthetic replacement.Clinical assessment was excellent in five, satisfactory in five, unsatisfactory in three, and failed in one case. All cases treated with Zero-traction were excellent or satisfactory. As a result, it is suggested that Zero-traction of this fracture is an adequate treatment to achieve and maintain good reduction, and acquire a satisfactory range of motion in the shoulder joint.
西日本整形・災害外科学会の論文