The Treatment of Displaced Proximal Humeral Fracture Utilising the Zero-position Cast Fixation

Abstract

From February 1981 to April 1982, ten patients with displaced proximal humeral fracture were treated by utilising the Zero-position cast fixation in our hospital.
Eight patients were school children and two patients were adults. All the fractures were reduced mannally without anesthesia at the first examination.
After the reduction, nine patients were fixed with Zero-position cast brace.
The results of eight school children were excellent with criteria for evaluation of results by Neer. The results of 76 years old man and 43 years old woman were satisfactory and failure respectively.
The treatment of Zero-position fixation for the fractures has merits as below.
1) There is no functional loss of shoulder and elbow joints.
2) Hospitalization is not necessary.
3) It is possible to walk and sleep at supine position.