Locking plate fixation for proximal humerus fractures.

Hdl Handle:
http://hdl.handle.net/10147/323667
Title:
Locking plate fixation for proximal humerus fractures.
Authors:
Burke, Neil G; Kennedy, Jim; Green, Connor; Dodds, Michael K; Mullett, Hannan
Affiliation:
Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Dublin, Ireland. neilburke@yahoo.co.uk
Citation:
Burke NG et al. Locking plate fixation for proximal humerus fractures. Orthopedics. 2012, 35 (2):e250-4
Publisher:
Orthopedics
Journal:
Orthopedics
Issue Date:
Feb-2012
URI:
http://hdl.handle.net/10147/323667
DOI:
10.3928/01477447-20120123-41
PubMed ID:
22310414
Abstract:
Locking plates are increasingly used to surgically treat proximal humerus fractures. Knowledge of the bone quality of the proximal humerus is important. Studies have shown the medial and dorsal aspects of the proximal humeral head to have the highest bone strength, and this should be exploited by fixation techniques, particularly in elderly patients with osteoporosis. The goals of surgery for proximal humeral fractures should involve minimal soft tissue dissection and achieve anatomic reduction of the head complex with sufficient stability to allow for early shoulder mobilization. This article reviews various treatment options, in particular locking plate fixation. Locking plate fixation is associated with a high complication rate, such as avascular necrosis (7.9%), screw cutout (11.6%), and revision surgery (13.7%). These complications are frequently due to the varus deformation of the humeral head. Strategic screw placement in the humeral head would minimize the possibility of loss of fracture reduction and potential hardware complications. Locking plate fixation is a good surgical option for the management of proximal humerus fractures. Complications can be avoided by using better bone stock and by careful screw placement in the humeral head.
Item Type:
Article
Language:
en
Keywords:
FRACTURE; SURGERY
Local subject classification:
SURGERY, ORTHOPAEDIC
MeSH:
Bone Plates; Evidence-Based Medicine; Fracture Fixation, Internal; Humans; Prevalence; Shoulder Fractures; Treatment Outcome
ISSN:
1938-2367

Full metadata record

DC FieldValue Language
dc.contributor.authorBurke, Neil Gen_GB
dc.contributor.authorKennedy, Jimen_GB
dc.contributor.authorGreen, Connoren_GB
dc.contributor.authorDodds, Michael Ken_GB
dc.contributor.authorMullett, Hannanen_GB
dc.date.accessioned2014-07-23T12:00:03Z-
dc.date.available2014-07-23T12:00:03Z-
dc.date.issued2012-02-
dc.identifier.citationBurke NG et al. Locking plate fixation for proximal humerus fractures. Orthopedics. 2012, 35 (2):e250-4en_GB
dc.identifier.issn1938-2367-
dc.identifier.pmid22310414-
dc.identifier.doi10.3928/01477447-20120123-41-
dc.identifier.urihttp://hdl.handle.net/10147/323667-
dc.description.abstractLocking plates are increasingly used to surgically treat proximal humerus fractures. Knowledge of the bone quality of the proximal humerus is important. Studies have shown the medial and dorsal aspects of the proximal humeral head to have the highest bone strength, and this should be exploited by fixation techniques, particularly in elderly patients with osteoporosis. The goals of surgery for proximal humeral fractures should involve minimal soft tissue dissection and achieve anatomic reduction of the head complex with sufficient stability to allow for early shoulder mobilization. This article reviews various treatment options, in particular locking plate fixation. Locking plate fixation is associated with a high complication rate, such as avascular necrosis (7.9%), screw cutout (11.6%), and revision surgery (13.7%). These complications are frequently due to the varus deformation of the humeral head. Strategic screw placement in the humeral head would minimize the possibility of loss of fracture reduction and potential hardware complications. Locking plate fixation is a good surgical option for the management of proximal humerus fractures. Complications can be avoided by using better bone stock and by careful screw placement in the humeral head.en_GB
dc.language.isoenen
dc.publisherOrthopedicsen_GB
dc.rightsArchived with thanks to Orthopedicsen_GB
dc.subjectFRACTUREen_GB
dc.subjectSURGERYen_GB
dc.subject.meshBone Plates-
dc.subject.meshEvidence-Based Medicine-
dc.subject.meshFracture Fixation, Internal-
dc.subject.meshHumans-
dc.subject.meshPrevalence-
dc.subject.meshShoulder Fractures-
dc.subject.meshTreatment Outcome-
dc.subject.otherSURGERY, ORTHOPAEDICen_GB
dc.titleLocking plate fixation for proximal humerus fractures.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Dublin, Ireland. neilburke@yahoo.co.uken_GB
dc.identifier.journalOrthopedicsen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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