Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
نویسندگان
چکیده
Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fixation with a nonlocking cloverleaf plate augmented with tension wiring to provide adequate stability and prevent loss of reduction.
منابع مشابه
Evaluation of Clinical and Radiological Outcome of Fracture Proximal Humerus by Locking Compression Plate Taking into Consideration of Biomechanics of the Glenohumeral Joint
Proximal humerus fractures account for approximately 4 – 5% of the all fractures [1,2,3]. The incidence of fracture is more common in the elderly because of decreased bone density. But it can occur in younger age group following high velocity trauma [3]. Because of increasing incidence of high velocity trauma, the fracture patterns in proximal humerus are becoming complicated. It has been alway...
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