Progress in research on causes and management of screw perforation after locking plate fixation of proximal humerus fracture

VernacularTitle:肱骨近端骨折锁定钢板内固定术后螺钉穿出的影响因素及处理研究进展
Author: Qiuke WANG ; Ming ZHANG ; Yunfeng CHEN
Keywords: Shoulder joint; Fracture fixation,internal; Bone nails; Cause analysis
From: Chinese Journal of Orthopaedic Trauma 2017;19(7):641-644
CountryChina
Language:Chinese
Abstract: Proximal humerus fractures are clinically common upper limb injury,accounting for about 4％ to 5％ of all human fractures.At present,displaced proximal humerus fractures are often treated by locking plate fixation,but complications may follow.Of them,a locking screw piercing the humeral head has the highest incidence and is thus the most common reason for surgery.Such a screw tends to cause claws of the glenoid cavity,leading to severe pain.Therefore,it is an unavoidable challenge how to effectively prevent postoperative screw piercing for orthopedic surgeons who use locking plating to treat proximal humerus fractures.In this paper,the progress in research will be reviewed on the causes and management of screw perforation after locking plate fixation of proximal humerus fracture.