<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>The Archives of Bone and Joint Surgery</title>
			<title_fa></title_fa>
			<short_title>ABJS</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://abjs.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4644</journal_id_issn>
			<journal_id_issn_online>2345-461X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2024</year>
				<month>6</month>
				<day>1</day>
			</pubdate>
			<volume>12</volume>
			<number>6</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[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]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>calcar, Complex, Proximal humeral fracture, varus collapse</keyword>
				<start_page>407</start_page>
				<end_page>411</end_page>
				<web_url>https://abjs.mums.ac.ir/article_24230.html</web_url>
			<author_list><author>
				<first_name>Stephen</first_name>
				<middle_name></middle_name>
				<last_name>Mc. Donald</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>stephen.mcdonald2@nhs.scot</email>
				<code>106231</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, 
Scotland</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Andrel</first_name>
				<middle_name></middle_name>
				<last_name>Yoong</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>andrel.yoong@nhs.scot</email>
				<code>106232</code>
				<coreauthor>No</coreauthor>
				<affiliation>Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, 
Scotland</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Piotr</first_name>
				<middle_name></middle_name>
				<last_name>Skrzypiec</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>piotr.skrzypiec@nhs.scot</email>
				<code>106233</code>
				<coreauthor>No</coreauthor>
				<affiliation>Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, 
Scotland</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alan</first_name>
				<middle_name></middle_name>
				<last_name>Johnstone</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alan.johnstone2@nhs.scot</email>
				<code>106234</code>
				<coreauthor>No</coreauthor>
				<affiliation>Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, 
Scotland</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>