DOI: 10.36347/sjams.2019.v07i08.044

Pages: 2852-2858

Despite recent advances in material, osteosynthesis of complex fractures of the upper end of the humerus is frequently fraught with mechanical complications. Ten fractures occurred on 10 patients with an average age of 70 years were included in this prospective non-randomized study. In eight cases, these were three-fragment fractures according to the Neer classification and two patients had a four-fragment fracture. The fractures were then reduced and ostosynthesized with the implante Bilboquets in a simplified surgical technique. The average was 30 months. The mean constant elevation was 60 and the constant weighted was 86. The average anterior active elevation was 100◦ and the average active external rotation was 30. No immediate postoperative complications were observed. There was an initial defect in tuberosity reduction in four cases. All fractures have consolidated. No secondary flip-flops of the head occurred and no migration or nonunion of tuberosity was found. The evolution was marked in ftwo patients by avascular necrosis of the humeral head.