Il trattamento delle fratture prossimali di omero con inchiodamento endomidollare.

Successful treatment of displaced humeral fracture can be difficult to achieve because of osteopenia of proximal humerus. One of the new options for humeral internal fixation is the minimally invasive intramedullary nail. We retrospectively reviewed 31 consecutive proximal humeral fractures treated with Sirus and T2 antegrade intramedullary nail (20 Sirus; 11 T2 Proximal) from January 2005 to December 2007. Time to union, level of pain, recovery of shoulder function according to Neer score, level of patients satisfaction and complications were recorded. All of the fractures proceeded to union in an average time of 3 months. An unsatisfactory result was obtained in two patients. Mobilization of proximal screws was seen in 3 patients (Sirus nail) and subacromial impingement of nail in 2. Antegrade intramedullary nail is an acceptable alternative for the treatment of proximal humeral fractures, especially in osteoporotic bone, allowing satisfactory functional recovery. [ABSTRACT FROM AUTHOR]