Fixation Strategies to Prevent Screw Cut-Out and Malreduction in Proximal Humeral Fracture Fixation.
10.4055/cios.2012.4.4.321
- Author:
Surena NAMDARI
1
;
Adam J LIPMAN
;
Eric T RICCHETTI
;
Fotios P TJOUMAKARIS
;
G Russell HUFFMAN
;
Samir MEHTA
Author Information
1. Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. Samir.Mehta@uphs.upenn.edu
- Publication Type:Original Article
- Keywords:
Proximal humerus;
Locking plate;
Screw cut-out
- MeSH:
Bone Plates;
Bone Screws;
Fracture Fixation/*instrumentation/*methods;
Humans;
Shoulder Fractures/rehabilitation/*surgery
- From:Clinics in Orthopedic Surgery
2012;4(4):321-324
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fixation of proximal humerus fractures with precontoured, fixed angle devices has improved operative management of these difficult injuries, particularly in patients with osteoporosis. However, recent data has revealed that fixation with these constructs is not without complications, particularly screw cut-out and loss of reduction. Multiple strategies have been developed to decrease the number of complications. We offer a surgical technique combining suture augmentation of the proximal humerus with locked plate fixation utilizing short screws.
