Current concepts in locking plate fixation of proximal humerus fractures
نویسندگان
چکیده
Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has become a standard in stabilizing these fractures, but surgical revision rates of up to 25% stagnate at high levels. Therefore, it seems of utmost importance to select the right treatment for the right patient. This article provides an overview of available classification systems, indications for operative treatment, important pathoanatomic principles, and latest surgical strategies in locking plate fixation. The importance of correct reduction of the medial cortices, the use of calcar screws, augmentation with bone cement, double-plate fixation, and auxiliary intramedullary bone graft stabilization are discussed in detail.
منابع مشابه
The Outcome of Proximal Humeral Locking Plates in the Management of Three and Four Part Proximal Humeral Fractures in Special Cohort of Young Patients in High Velocity Trauma
Background: Locking plate fixation provides satisfactory outcome following proximal humerus fractures. None of theprevious studies selectively evaluate the outcome in young patients. This study evaluates outcome of locking platesystem in the treatment of acute three- and four-part fractures in young patients.Methods: In this prospective study we included all patients who were less than 60 years...
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