Kuner E H, Siebler G
Unfallchirurgie. 1987 Apr;13(2):64-71. doi: 10.1007/BF02585983.
167 patients with fracture dislocations of the proximal humerus--operated upon between 1970 and 1980--were followed up on an average 43.2 months after the accident. Fractures were classified according to Neer in two-part-(n = 24), three-part-(n = 60) and four-part-fractures (n = 61) as well as fractures of the articular surface (n = 21). 20.4% of all fractures were complicated by a neurological lesion. In 31% of all cases a good or excellent result was obtained. The functional result and the rate of avascular head necrosis were dependent on the type of fracture, that means the number of displaced parts. Results after 23 head prostheses were disappointing. The analysis of functional results and the rate of avascular head necrosis after different types of operation proved that minimal fixation with K-wire or tension-band was slightly superior to plate fixation.
1970年至1980年间接受手术治疗的167例肱骨近端骨折脱位患者在事故发生后平均随访43.2个月。骨折根据Neer分类为两部分骨折（n = 24）、三部分骨折（n = 60）和四部分骨折（n = 61）以及关节面骨折（n = 21）。所有骨折中有20.4%并发神经损伤。在所有病例中，31%获得了良好或优异的结果。功能结果和缺血性股骨头坏死率取决于骨折类型，即移位部分的数量。23例人工股骨头置换术后的结果令人失望。对不同类型手术的功能结果和缺血性股骨头坏死率的分析表明，克氏针或张力带的微创固定略优于钢板固定。
