Valgus impacted proximal humeral fractures and their blood supply after ...
International Orthopaedics (SICOT) (2004) 28: 333¨C337
DOI 10.1007/s00264-004-0581-y
ORIGINA L PA PER
Andreas M. Panagopoulos . P. Dimakopoulos .
M. Tyllianakis . D. Karnabatidis . D. Siablis .
A. X. Papadopoulos . E. Lambiris . P. Kraniotis .
G. Sakellaropoulos
Valgus impacted proximal humeral fractures and their blood
supply after transosseous suturing
Received: 27 April 2004 / Accepted: 1 June 2004 / Published online: 26 August 2004
# Springer-Verlag 2004
Abstract We treated 16 patients (11 women and five men,
average age 45 years), all having four-part valgus
impacted fractures of the proximal humerus, with
transosseous suturing. All had preoperative angiography
performed 6¨C12 h after admission. The average impaction
angle was 43¡ã, and the mean lateral displacement of the
humeral head was 1.4 mm. Postoperative angiography was
performed 8¨C10 weeks after the operation followed by
digital image processing using the segmentation technique. No statistically important reduction in the length
and area of large (>0.5 mm) vessels was seen. Union was
confirmed by the reduction in the length and area of small
vessels ( ................
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