Internal fixation of proximal humeral fractures with a locking compression plate

Björkenheim, Jan-Magnus; Pajarinen, Jukka; Savolainen, Vesa

doi:10.1080/759369236

Cited by 14 publications

(25 citation statements)

References 14 publications

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“…Good results of our study were comparable with the studies of Jan Magnus 8 and Ramchander Siwach 25 (Table 6). …”

Section: Discussionsupporting

confidence: 91%

“…More current data, concerning the use of locking plates in the treatment of fractures of the proximal humerus, have been very encouraging. [6][7][8] There is ongoing controversy regarding the ideal methods of treating displaced proximal humerus fractures. Many published series in the literature are retrospective reviews of limited numbers of cases, with combined approaches and techniques used by different surgeons.…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

Ramesh¹,

Goel²,

Kiran³

et al. 2016

The Journal of Medical Sciences

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Introduction Proximal fractures of the humerus account for about 4 to 5% of all fractures. They are the most common fractures in elderly population. Treatment of unstable, displaced, and comminuted fractures of the proximal humerus remains challenging. Objectives The present study is undertaken to evaluate the functional outcome of proximal humerus fractures treated by locking compression plate in 20 patients. Materials and methods Prospective study was done involving 20 adult patients with proximal humerus fractures admitted from October 2012 to December 2013 treated by open reduction and internal fixation (ORIF) with locking compression plate. The functional follow-up was done for a minimum period of 3 months and the patients were evaluated by Constant Murley scoring (CMS). Results In our series, the majority of the patients were middle-aged males, with road traffic accidents (RTAs) being the most common cause of injury, involving 2-part, 3-part, and 4-part fractures of the proximal humerus. The fractures were united in 19 patients and 1 patient had avascular necrosis (AVN). Excellent results were seen in 15% of patients, good results in 55%, moderate results in 15%, and poor results in 15% according to CMS. There were 95% union rates, 5% of AVN, and no failures. Conclusion In conclusion, locking compression plate is an advantageous implant in proximal humerus fractures due to angular stability, particularly in comminuted fractures and in osteoporotic bones of elderly patients, which allows their early mobilization. How to cite this article Mahesh G, Kiran KC, Ramesh KV, Kumar R. Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures. J Med Sci 2016;2(1):1-8.

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“…Good results of our study were comparable with the studies of Jan Magnus 8 and Ramchander Siwach 25 (Table 6). …”

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

Ramesh¹,

Goel²,

Kiran³

et al. 2016

The Journal of Medical Sciences

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“…Die meisten vorliegenden Arbeiten zur winkelstabilen Plattenosteosynthese haben alle Altersgruppen eingeschlossen. Außer der Arbeit von Hente und Mitarbeitern [15], welche ebenfalls nur die 3-und 4-Segment-Frakturen analysierten, haben alle anderen Autoren einfache subkapitale Humerusfrakturen ebenfalls in ihre Serien eingeschlossen [4,12,16,18,20,23,25,27,32].…”

Section: Funktionelles Resultatunclassified

“…Die Operationstechnik für winkelstabile Platten am proximalen Humerus im Allgemeinen [25] und für die PHILOS®-Platte im Speziellen wurde bereits ausführ-lich beschrieben [4,15,18]. Die Exposition erfolgte jeweils durch einen deltoideopektoralen Zugang.…”

Section: Operationstechnik Philosunclassified

Komplexe proximale Humerusfraktur beim alten Menschen

Dietrich

Meier

Lattmann

et al. 2007

Chirurg

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“…[5][6][7][8] Treatment of complex fracture patterns, especially in the elderly individuals, continues to be a challenging and controversial clinical scenario, and there still remains no consensus for the optimal treatment algorithm for these types of fractures. 9 More current data, concerning the use of locking plates in the treatment of proximal humerus fractures, has been very encouraging. 5,7 However, these larger series have included less complex fracture patterns (2-part Neer classification and type A AO/OTA [Arbeitsgemeinschaft für Osteosynthesefragen/ Orthopaedic Trauma Association] classification) as part of their overall appraisal of outcomes following ORIF of proximal humerus fractures with locked plating.…”

Section: Introductionmentioning

confidence: 99%

Open Reduction and Internal Fixation (ORIF) of Complex 3- and 4-Part Fractures of the Proximal Humerus

Grawe

Lee

et al. 2011

Geriatr Orthop Surg Rehabil

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Introduction: Treatment of complex fracture patterns of the proximal humerus continues to be a challenging and controversial clinical scenario. The aim of this study was to report on the outcomes of complex displaced 3-and 4-part fractures of the proximal humerus treated with locked plating and compare the functional results of patients on the basis of age at time of injury. Methods: A retrospective review was completed to identify patients whom had sustained a 3-or 4-part fracture of the proximal humerus (Neer classification), treated surgically with locked compression plating. Patients were recruited for a final follow-up, with clinical (Constant and Disabilities of the Arm, Shoulder, Hand [DASH] scores) and radiographic outcome analysis. Results were compared (t test and Wilcoxon test) with fracture type (3-vs 4-part) and patient age at time of fracture (<65 years vs >65years) as the primary outcome measure. The presence or absence of a complication and presence or absence of a concomitant osseous injury at the time of presentation were evaluated as secondary outcome measures, in regard to overall functional results of the treatment in question. Complications were defined as posttraumatic osteoarthritis, avascular necrosis of the humeral head, and screw cutout with chondrolysis. The null hypothesis being that age of the patient at the time of injury would not greatly affect functional outcome measurements. Results: Forty-five fractures were identified in 45 patients, with 31 three-part fractures and 14 four-part fractures, and 17 patients were available for final follow-up (9 three-part and 8 four-part). Twelve patients were identified as under the age of 65 years and were compared with 5 patients who were identified as older than 65 years of age. The relative Constant score, at final follow-up, for those under the age of 65 was 88.58, while the score for those above the age of 65 was 82.5. In a similar fashion, the DASH score for those younger than 65 was 11.67, while the score for those older than 65 was 12.5. Neither the Constant score nor the DASH score differed in a statistically significant manner, when comparing patients who were younger than 65 to those older than 65 years of age. Conclusion: The current series of fractures was able to demonstrate similar and satisfactory outcomes following locked plating treatment of complex 3-and 4-part proximal humerus fractures in younger patients and patients older than the age of 65, while still accepting the null hypothesis.

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Internal fixation of proximal humeral fractures with a locking compression plate

Cited by 14 publications

References 14 publications

Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

Komplexe proximale Humerusfraktur beim alten Menschen

Open Reduction and Internal Fixation (ORIF) of Complex 3- and 4-Part Fractures of the Proximal Humerus

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