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| The Results of Surgical Treatment of Fractures of The Proximal End of The Humerus
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Radi Jihad, Kajout Anas, Lahlou-charki Hamza, Lahrach Kamal, Marzouki Mohamed Amine, Fawzi Boutayeb.
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Abstract:
: Objective : fractures of the proximal end of the humerus are traumatic lesions frequent ,their treatment is controversial.The objective of this study is to evaluate the functional and radiological results of the upper end of the humerus treated surgically with osteosynthesis . Patients and methods : we conducted a retrospective study of 71 cases collected in the department orthopaedics surgery A from the CHU HASSAN II DE Fez between January 2016 and June 2020. A Treatment was surgical in principle by osteosynthesis. We excluded fractures fromThe proximal humerus treated orthopaedically or by shoulder prosthesis. Results : The overall average age was 46.8 years, the sex ratio (M/F) was 1.36. The analysis statistics of functional and radiological results did not show the superiority of aTechnical in relation to the other, The average absolute Constant score was 85 For patients locked and unlocked plate-treated, 87 for Kapandii type plugging and 91 for Hackethal type plugging. Advanced age and 4-fragment fractures represent a Pejorative factor, Constant's average score is 77.9 for the age group over 60 And 53.9 for 4-fragment fractures. The overall mean cephalodiaphyseal angle was 48°. Conclusion : The quality of functional results, depends in addition to the technique or equipment used, several factors such as age, the type of fracture the study did not show any superiority of one surgical technique over the other.
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