1
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK
2
Dept of Orthopaedics, Aberdeen Royal Infrimary, Aberdeen, Scotland, UK
10.22038/abjs.2024.74258.3437
Abstract
Title: Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series
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.
Mc Donald, S., Yoong, A., Skrzypiec, P., & Johnstone, A. (2024). Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series. The Archives of Bone and Joint Surgery, (), -. doi: 10.22038/abjs.2024.74258.3437
MLA
Stephen Mc Donald; Andrel Yoong; Piotr Skrzypiec; Alan Johnstone. "Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series". The Archives of Bone and Joint Surgery, , , 2024, -. doi: 10.22038/abjs.2024.74258.3437
HARVARD
Mc Donald, S., Yoong, A., Skrzypiec, P., Johnstone, A. (2024). 'Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series', The Archives of Bone and Joint Surgery, (), pp. -. doi: 10.22038/abjs.2024.74258.3437
VANCOUVER
Mc Donald, S., Yoong, A., Skrzypiec, P., Johnstone, A. Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series. The Archives of Bone and Joint Surgery, 2024; (): -. doi: 10.22038/abjs.2024.74258.3437
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