Preventing varus collapse in proximal humerus fracture fixation: 90–90 dual plating versus endosteal fibular allograft strut

Patel, Ravi; Brown, Justin R.; Miles, Jon W.; Dornan, Grant J.; Bartolomei, Christopher; Hazra, Rony-Orijit Dey; Vidal, Leslie B; Millett, Peter J.

doi:10.1007/s00402-022-04738-1

Cited by 2 publications

(4 citation statements)

References 41 publications

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“…Patel at al. 12 showed improved stiffness and ultimate load forces of dual plating (lateral locking plate and anterior 1/3 tubular plate) when compared to a lateral locked plate alone, in a fresh-frozen proximal humerus biomechanical model. They also highlighted that the biomechanical properties of dual plating were similar to a lateral locking plate augmented with an endosteal fibular allograft.…”

Section: Discussionmentioning

confidence: 89%

“…They also highlighted that the biomechanical properties of dual plating were similar to a lateral locking plate augmented with an endosteal fibular allograft. 12 Katthaggen et al also found in a cadaveric proximal humerus biomechanical study, that addition of an anterior plate to a lateral locked plate with cerclage fixation of the lesser tuberosity, offered improved stability and higher load to failure when compared to addition of only two anterior cortical screws. 11 Warnhoff et al, 13 retrospectively reviewed 31 patients who sustained a proximal humerus fracture and were managed with dual plating (PHILOS plate with anterior 1/ 3 tubular plate.…”

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

“…Recently increased attention has been directed towards dual plate fixation in severely comminuted proximal humerus fractures, with both biomechanical and clinical studies indicating improved outcomes and less complications. [9][10][11][12][13] The aim of our case series is to describe our surgical technique of dual plate fixation in proximal humerus fractures, report our own experience with this technique and evaluate the clinical and radiological results in our series of patients.…”

Section: Introductionmentioning

confidence: 99%

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Dual plate fixation of proximal humerus fractures: Retrospective review and surgical technique

Al-Qahtani

Aljamaan

Abusultan³

et al. 2023

Shoulder & Elbow

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Introduction Recent interest has been directed towards dual plate fixation for comminuted proximal humerus fractures, with an aim to improve construct stability and thus improve patient outcomes while decreasing the risk of fracture-associated complications. We present our experience with this technique in a case series of patients with proximal humerus fractures and describe our surgical technique. Methodology This was a single-center retrospective case series of patients presenting with an acute (<6 weeks) proximal humerus fracture who underwent ORIF with dual plating fixation. Patient, fracture, and surgical data were collected. All patient outcomes were evaluated using Constant–Murley shoulder score and Single Assessment Numeric Evaluation. Results Our series included nine patients with a mean age of 46.2 years (range: 27–70 years old). All fractures healed within 4 months and no complications were encountered. At 1 year follow-up, the mean SANE score was 69.4% and the mean Constant Murley shoulder score was 78.9 (range: 70–96). Conclusion Our current series shows that applying the dual plating technique in severely comminuted proximal humerus fractures provides adequate fixation and thus good patient outcomes. Further research is required before this technique can be strongly recommended for management of these complex fractures. Level of Evidence Level 5.

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Section: Discussionmentioning

confidence: 89%