The Impact of Preoperative Coronal Plane Deformity on Proximal Humerus Fixation With Endosteal Augmentation

Abstract

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Postoperative outcomes of initial varus versus initial valgus proximal humerus fracture: A systematic review and meta-analysis

“…Searches of electronic databases identified 160 articles of which three [11][12][13] were eligible for this review (Fig. 1).…”

“…1). These included two retrospective cohort studies 11,12 and one retrospective analysis of a prospective database, 13 Table 1.…”

Nonunion of proximal humerus fractures

“…In these cases, endosteal strut allografting with proximal fibular allograft may provide additional mechanical support (Mathison et al, 2010;Chow et al, 2012;Hettrich et al, 2012;Matassi et al, 2012;Little et al, 2014;Berkes et al, 2014;Badman et al, 2009). Hypertrophic nonunion may indicate that there is excessive motion but preserved biology at the fracture line.…”

Augmentation in proximal humeral fractures

“…To our knowledge, four studies 29,41,42,43 have examined the clinical results of fibular strut allografts for the fixation of proximal humeral fractures from 2013 to present ( Table 1). Each of the following studies used locked plating to achieve fixation.…”

“…All 11 fractures achieved osseous union by 3 mo. Little et al 42 examined the effects of preoperative coronal plane deformity on the radiographic and functional outcomes of proximal humeral fracture fixation with endosteal fibular strut augmentation in 72 patients. One patient developed a wound dehiscence and underwent wound irrigation and debridement.…”