Combining of small fragment screws and large fragment plates for open reduction and internal fixation of periprosthetic humeral fractures

Abstract

Operative treatment of periprosthetic humeral fractures in elderly patients with osteoporotic bone requires a stable fixations technique. The combination of 3.5 cortical screws with washers in a 4.5 Arbeitsgemeinschaft für Osteosynthesefragen, Limited-contact dynamic compression plate or Locking plate, allows a stable periprosthetic fixation with the small 3.5 screws and 4.5 screws above and below the prosthesis, respectively. This combination is a cost-effective technique to treat periprosthetic humeral fractures.

Management of periprosthetic fractures of the humerus

“…14,22,31 Forward flexion was > 100° or equal to the pre-fracture level in 11 of 13 patients in whom this was reported (from eight stud ies). 13,16,17,19,21,24,30,47 An arc of movement of the elbow of > 100° was reported in all four patients in whom it was reported from three studies. 18,27,29 A further seven patients (from two studies) had no pain at the fracture site.…”

Original Fixation Technique for Periprosthetic Humeral Fractures: Locking Plate for Lockable Stem

“…The prevalence of periprosthetic fracture after shoulder arthroplasty is 0.6% to 3% and it makes up 20% of complica-tions according to Steinmann, et al [1]. The incidence of peri-prosthetic fractures in the humerus is reported to be between 1.6% and 2.4% according to Seybold and al [2]. Periprosthetic fractures of the humerus following shoulder arthroplasty are very complex cases to treat and have a risk of complications and loss of function.…”

Periprosthetic Fracture after Total Shoulder Arthroplasty

“…인공 견관절 전치환술 후 치환물 주위 골절의 발생률은 0.6%에서 2.4% 로 보고되고 있다. [1][2][3][4][5][6][7] 이는 인공 견관절 전치환술 후 발생하 는 합병증의 20% 정도를 차지한다. 4) 인공 견관절 전치환술 을 시행 받은 환자의 여명 증가 및 수술 후 활발한 활동으로 인공 치환물 주위 골절이 더욱 더 증가할 것으로 예상되고 있 다.…”

“…4) 인공 견관절 전치환술 을 시행 받은 환자의 여명 증가 및 수술 후 활발한 활동으로 인공 치환물 주위 골절이 더욱 더 증가할 것으로 예상되고 있 다. [1][2][3][4][5][6][7] 인공 치환물 주위 골절은 수술 중 또는 수술 후 합병증으 로 발생할 수 있다. 수술 중 골절은 기술적 결함으로 발생하 는 경우가 많고, 수술 후 골절은 외상 또는 치환물 주위 해리 와 관련이 있는 것으로 보고되었다.…”