2013
DOI: 10.1016/j.jse.2012.06.008
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Locking plate fixation of fractures of the proximal humerus: analysis of complications, revision strategies and outcome

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Cited by 242 publications
(169 citation statements)
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References 28 publications
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“…Mechanical complications (11%) was the most common surgical cause of readmission after ORIF which is consistent with reports indicating that even with the use of periarticular locked plating, screw cutout after ORIF is still one of the most common causes of surgical failure [24,35]. Although shoulder arthroplasty components have been revised and advancements in techniques have shown improved clinical outcomes [32], our results indicate that instability after hemiarthroplasty or reverse total shoulder arthroplasty remains a concern.…”
Section: Discussionsupporting
confidence: 87%
“…Mechanical complications (11%) was the most common surgical cause of readmission after ORIF which is consistent with reports indicating that even with the use of periarticular locked plating, screw cutout after ORIF is still one of the most common causes of surgical failure [24,35]. Although shoulder arthroplasty components have been revised and advancements in techniques have shown improved clinical outcomes [32], our results indicate that instability after hemiarthroplasty or reverse total shoulder arthroplasty remains a concern.…”
Section: Discussionsupporting
confidence: 87%
“…The incidence of AVN varies from 0-68% throughout the literature 30,31 .The fracture type itself, the length of the dorsomedial metaphyseal extension, and the integrity of the medial hinge were found to be the most relevant predictors of humeral head necrosis. This is supported by the a study by Jost et al 32 . presenting a AVN rate of 68% including only three and four part fractures.…”
Section: Discussionsupporting
confidence: 64%
“…A radiologist (NK) independently analyzed the BMD of the same shoulders on pQCT, using a validated protocol for the proximal humerus [14]. Measurement of the cancellous bone of the humeral head was used as the standard of reference for local BMD, as this area is the most common location of failure after ORIF for proximal humerus fractures [11,24]. Correlations between the deltoid tuberosity index and the Tingart measurement, between the deltoid tuberosity index and the Tingart measurement and BMD of the humeral head, and between the deltoid tuberosity index and Tingart measurement and age were calculated.…”
Section: Measurement Of the Deltoid Tuberosity Indexmentioning
confidence: 99%