Analysis of early failure of the locking compression plate in osteoporotic proximal humerus fractures

Micić, Ivan; Kim, Kyung Chun; Shin, Dong Ju; Shin, Sang Jin; Kim, Poong Taek; Park, Il Hyung; Jeon, In-Ho

doi:10.1007/s00776-009-1382-3

Cited by 59 publications

(36 citation statements)

References 24 publications

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“…However, auxiliary exploratory analysis revealed a significant correlation between deviation and the functional result according to the Constant and Murley score: patients with varus deviations greater than 30°to 45°and greater than 45°had, on average, nine (p = 0.008) and 14 (p = 0.027) percentage points less on the relative Constant and Murley score at 1 year, respectively. This finding is consistent with previously reported results from other studies [1,23,28].…”

Section: Discussionsupporting

confidence: 94%

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Konrad¹,

Audigé

Lambert

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

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Background There is a lack of consensus regarding optimal surgical management of displaced and unstable three-part proximal humeral fractures. Questions/purposes The objective of this prospective observational study was to compare the clinical and radiologic outcomes of plate versus nail fixation of threepart proximal humeral fractures. Patients and Methods Two hundred eleven patients with unstable three-part proximal humeral fractures were treated with ORIF using plate (PHILOS [proximal humeral interlocking system]/LPHP [locking proximal humerus plate]) or nail (PHN [proximal humeral nail]) osteosynthesis. Outcome measurements included pain, Constant and Murley and Neer scores, and the occurrence of complications at 3, 6, and 12 months postsurgery. Regression analysis and the likelihood ratio test were used to evaluate differences between the cohorts.

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Section: Discussionsupporting

confidence: 94%

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Konrad¹,

Audigé

Lambert

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

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“…Recent findings have demonstrated a high positive correlation between the bone mass and early results of proximal humerus fractures [10][11][12][13][14][15]. Therefore, locking plates have been widely used in the treatment of proximal humerus fractures, especially in osteoporotic patients as they can provide the stability to resist angular and rotational forces.…”

Section: Discussionmentioning

confidence: 99%

The clinical benefit of medial support screws in locking plating of proximal humerus fractures: a prospective randomized study

Zhang

Zheng

Wang

et al. 2011

International Orthopaedics (SICOT)

119

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“…In these situations, the hardware itself generally breaks after repeated cyclical loading. By contrast, osteoporotic fracture failures occur generally at the bone-implant interface resulting in cutout, fracture subsidence, or plate pull-off [33,63,69]. For that reason, locking head screws, largerdiameter screws with greater surface contact area, bicortical screws, angular stable blades, and hardware designed to provide more load bearing rather than load sharing are preferred to fix fractures in patients with impaired bone quality [100].…”

Section: Operative Fixation Of Fragility Fracturesmentioning

confidence: 99%

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

Bukata

Kates

O’Keefe

2011

Clinical Orthopaedics &Amp; Related Research

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Background Patients with impaired bone quality who suffer a fragility fracture face substantial challenges in both their short-and long-term care. In addition to poor bone quality, many of these patients have multiple medical comorbidities that alter their surgical risk and affect their ultimate functional recovery. Some medical issues can contribute to the altered bone quality and must be addressed to prevent future fractures. Questions/purposes This review summarizes the modifications in perioperative management and fracture fixation in patients with common fragility fractures who have impaired bone quality. It also summarizes the postoperative diagnosis and treatment of secondary causes of impaired bone quality in these patients. Methods We performed a PubMed search, and literature published after 2000 was prioritized, with the exception of benchmark clinical trial studies published before 2000. Results Patients with altered bone quality require rapid perioperative management of multiple medical comorbidities. Implant selection in patients with poor quality bone should permit early weightbearing, and constructs should maximize surface area contact with the remaining bone. Long-term diagnosis and treatment of other disease states contributing to poor bone quality (vitamin D deficiency/ insufficiency, hypothyroidism, hyperthyroidism, hyperparathyroidism, Cushing's disease, and hypogonadism) must occur to minimize the chances of future fractures. Conclusions Recognition of patients with impaired bone quality and proper treatment of their special needs in both the short and long term are essential for their best opportunity for maximal functional recovery and prevention of future fractures.

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Analysis of early failure of the locking compression plate in osteoporotic proximal humerus fractures

Cited by 59 publications

References 24 publications

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

The clinical benefit of medial support screws in locking plating of proximal humerus fractures: a prospective randomized study

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

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