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Mc. Donald, Stephen, Yoong, Andrel, Skrzypiec, Piotr, Johnstone, Alan. (1403). Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series. , 12(6), 407-411. doi: 10.22038/abjs.2024.74258.3437
Stephen Mc. Donald; Andrel Yoong; Piotr Skrzypiec; Alan Johnstone. "Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series". , 12, 6, 1403, 407-411. doi: 10.22038/abjs.2024.74258.3437
Mc. Donald, Stephen, Yoong, Andrel, Skrzypiec, Piotr, Johnstone, Alan. (1403). 'Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series', , 12(6), pp. 407-411. doi: 10.22038/abjs.2024.74258.3437
Mc. Donald, Stephen, Yoong, Andrel, Skrzypiec, Piotr, Johnstone, Alan. Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series. , 1403; 12(6): 407-411. doi: 10.22038/abjs.2024.74258.3437

Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series

The Archives of Bone and Joint Surgery
مقاله 4، دوره 12، شماره 6، شهریور 2024، صفحه 407-411    اصل مقاله (692.37 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.74258.3437
نویسندگان
Stephen Mc. Donald* ؛ Andrel Yoong؛ Piotr Skrzypiec؛ Alan Johnstone
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland
چکیده
Objectives: To assess fracture union rates using novel intramedullary plate technique. Post-operative 
humeral neck-shaft angles, patient range of motion and complication profile were secondary outcomes 
of interest.
Methods: Single surgeon, retrospective case series of surgical technique at major trauma centre in Scotland. A 
2.0mm mini-fragment plate was secured to the humeral head to act as an intramedullary strut during fixation in 
complex proximal humerus fractures. Fracture union and neck-shaft angle were assessed radiologically, whilst 
range of motion and complication profiles were assessed clinically.
Results: Twelve patients were followed up for an average of 10 months post-operatively. All achieved bony union 
with a mean neck-shaft angle of 128°. Mean range of motion values were 100° forward elevation, 83° abduction, 
60° internal rotation and 37° external rotation. Four patients required further surgical intervention- two for hardware 
prominence, one for adhesive capsulitis and one for subsequent rotator cuff failure. There were no cases of 
avascular necrosis or infection.
Conclusion: This novel technique addresses the established biomechanical propensity of proximal humerus 
fractures to fail in varus collapse and screw cut-out. This method provides an alternative to arthroplasty in the most 
severe proximal humerus fractures and is readily adopted via standard orthopaedic kit.
 Level of evidence: IV
کلیدواژه‌ها
Calcar؛ Complex؛ Proximal humeral fracture؛ Varus collapse
مراجع
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