Fixation Strategies to Prevent Screw Cut-Out and Malreduction in Proximal Humeral Fracture Fixation

Fixation Strategies to Prevent Screw Cut-Out and Malreduction in Proximal Humeral Fracture Fixation

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...

Philos plate fixation for proximal humeral fractures.

PURPOSE To evaluate the efficacy of Philos plate fixation for proximal humerus fractures. METHODS Functional outcomes of 31 men and 27 women aged 36 to 73 (mean, 61) years who underwent Philos plate fixation for proximal humeral fractures were retrospectively reviewed. Indications for surgery were 3-part (n=33) or 4-part (n=25) closed proximal humeral fractures with angulation of more than 45...

Transosseous suture fixation of proximal humeral fractures.

BACKGROUND The optimal treatment of displaced fractures of the proximal part of the humerus remains controversial. We evaluated the long-term functional and radiographic results of transosseous suture fixation in a series of selected displaced fractures of the proximal part of the humerus. METHODS Over an eleven-year period, a consecutive series of 188 patients with a specifically defined dis...

Internal fixation of proximal humeral fractures.

Fractures of the proximal humerus are common, especially in elderly individuals, and are usually classified according to Neer into fractures having one, two, three, or four parts with or without an associated dislocation or an injury splitting the humeral head. This article is intended to assist the surgeon in selecting and using techniques for internal fixation of these fractures. The use of o...

Transosseous Suture Fixation of Proximal Humeral Fractures