PubMed · 439982
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P Gillström, S Olerud, A Stark. 1979-05-09. [Eversion in Ender nailing].. https://pubmed.ncbi.nlm.nih.gov/439982/
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Both fascicular pinning as described by Appril and palmate pinning are inconvenient in that the pins can perforate the articular cartilage of the humeral head and provoke premature unpinning because of insufficient fixing in an osteoporotic bone. A new osteosynthesis material has been developed to reduce these inconveniences: the screw-pin. This ensures initial stability in the humeral head and allows immediate postoperative re-education of displaced fractures of the upper end of humerus. Results are presented of the use of this new material since 1988 in 26 fractures of upper end of humerus.
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Authors have treated 37 fractures of the scapula during 3 years. The questions of the aetiology, classification, diagnosis and therapy of this injury are reviewed. It is stated that the majority of the scapula fractures heal on conservative therapy; in consequence the functional treatment has a leading role. The fractures of the articular surfaces with step formation, the fractures of the scapular neck process dislocated in a high degree, or unstable fractures of the scapular neck combined with the comminutive fractures of the operative therapy are assessed. Attention is called to the most frequent operative complications and to the possibility of their prevention.