[Corrective osteosynthesis of XXXX : Technique and prospective results].

@entity6342 @entity1 @entity12432 @entity174
BACKGROUND: Fracture sequelae of @entity6342 arise following nonoperative and operative forms of treatment. Due to a painful restricted range of motion, in most cases shoulder prostheses are implanted. There is a need for joint-preserving alternatives especially for younger @entity1 . OBJECTIVES: The aim of this study was to evaluate the surgical techniques and prospective results of @entity174 sequelae of @entity6342 following corrective osteosynthesis. MATERIAL AND METHODS: A total of 11  @entity1 (4 female) with an average age of 53 years (range 29-71 years) and a mean follow-up of 19.5 months were included prospectively. The preoperative and postoperative ranges of motion of the affected shoulder were compared by statistical means. At the time of follow-up the constant score (CS), the simple shoulder test (SST) and the simple shoulder value ( @entity12432 ) were assessed. RESULTS: Fracture sequelae were classified as type II in four @entity1 , as type III in two and as type IV in five @entity1 using the Boileau classification. Shoulder flexion (p   =   0.006), abduction (p   =   0.003) and external rotation (p   =   0.02) improved significantly in the postoperative course. The mean age and gender-adapted CS was 74.8        19.9   % at the time of follow-up, 10.1 out of 12  points were reached in the SST and the mean @entity12432 was 77   %. CONCLUSION: Corrective osteosynthesis of @entity174 sequelae (Boileau types II-IV) of @entity6342 appears to be a good alternative to implantation of shoulder prostheses, especially in younger @entity1 (<   60  years of age).
