Winkelstabile Plattenosteosynthese proximaler Humerusfrakturen

Abstract

Fractures of the proximal humerus are very common, especially in older members of the population. There is no general agreement on the best operative therapy for displaced proximal humeral fractures, but fixed-angle plate fixation has taken the stabilisation that can be achieved into a new dimension. According to biomechanical studies comparing different implants, under exposure to long-term cyclic weight-bearing the locking proximal humerus plate (LPHP®) is the most stable. Clinical results confirm this. The LPHP® combines the advantages of better implant fixation in osteoporotic bone and additional tension band wiring of the rotator cuff. This allows completely stable fixation and the early functional treatment that is essential for a good outcome. © Springer Medizin Verlag 2004.