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    Locking plate fixation for proximal humerus fractures.

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    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
    Issue Date
    2012-02
    Keywords
    FRACTURE
    SURGERY
    Local subject classification
    SURGERY, ORTHOPAEDIC
    MeSH
    Bone Plates
    Evidence-Based Medicine
    Fracture Fixation, Internal
    Humans
    Prevalence
    Shoulder Fractures
    Treatment Outcome
    
    Metadata
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    Citation
    Burke NG et al. Locking plate fixation for proximal humerus fractures. Orthopedics. 2012, 35 (2):e250-4
    Publisher
    Orthopedics
    Journal
    Orthopedics
    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
    ISSN
    1938-2367
    ae974a485f413a2113503eed53cd6c53
    10.3928/01477447-20120123-41
    Scopus Count
    Collections
    Cappagh National Orthopaedic Hospital

    entitlement

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