Position of polyaxial versus monoaxial screws in locked plating for proximal humeral fractures: analysis of a prospective randomized study

2013 ◽  
Vol 24 (5) ◽  
pp. 747-752 ◽  
Author(s):  
Ben Ockert ◽  
Vera Pedersen ◽  
Lucas Geyer ◽  
Stefan Wirth ◽  
Wolf Mutschler ◽  
...  
Keyword(s):  
Randomized Study ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Prospective Randomized Study ◽  
Locked Plating

Biomechanical effects of calcar screws and bone block augmentation on medial support in locked plating of proximal humeral fractures

2014 ◽  
Vol 29 (7) ◽  
pp. 735-741 ◽  
Author(s):  
Jan Christoph Katthagen ◽  
Michael Schwarze ◽  
Josefin Meyer-Kobbe ◽  
Christine Voigt ◽  
Christof Hurschler ◽  
...  
Keyword(s):  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Bone Block ◽  
Locked Plating ◽  
Medial Support ◽  
Calcar Screws

Locked Plating for Proximal Humeral Fractures: Differences Between the Deltopectoral and Deltoid-Splitting Approaches

2011 ◽  
Vol 71 (5) ◽  
pp. 1364-1370 ◽  
Author(s):  
Chin-Hsien Wu ◽  
Ching-Hou Ma ◽  
James Jih-Hsi Yeh ◽  
Cheng-Yo Yen ◽  
Shang-Won Yu ◽  
...  
Keyword(s):  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Locked Plating

Comparison of Locked Plating of Varus Displaced Proximal Humeral Fractures With and Without Fibula Allograft Augmentation

2020 ◽  
Vol 34 (4) ◽  
pp. 186-192 ◽  
Author(s):  
Stephen Davids ◽  
Dexter Allen ◽  
Michael Desarno ◽  
Nathan K. Endres ◽  
Craig Bartlett ◽  
...  
Keyword(s):  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Locked Plating

scholarly journals Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head?

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Mohammad Maddah ◽  
Wolf C. Prall ◽  
Lucas Geyer ◽  
Stefan Wirth ◽  
Wolf Mutschler ◽  
...  
Keyword(s):  
Humeral Head ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Spearman Correlation ◽  
Locked Plating ◽  
Secondary Fracture ◽  
Secondary Loss ◽  
Cutting Out ◽  
Shaft Angle ◽  
Head Shaft Angle

The aim of the study was to examine the correlation between the chosen position of screws and the complications observed in patients who underwent locked plating of proximal humeral fractures. We evaluated radiographs of 367 patients treated by locked-plating for proximal humeral fractures. Radiographs were taken at one day, 6 weeks, 3 months and 6 months after surgery, and were analyzed for secondary fracture displacement, loss of fixation, cutting out of screws and necrosis of the humeral head. Secondary loss of fixation occurred in 58 cases (15.8%) and among those cutting out of screws was observed in 25 cases (6.8%). In cases of secondary loss of fixation a mean of 6.7 screws were used to fix the fracture (<em>vs</em> 6.6, P=0.425). There was neither significant correlation between position of screws and the occurrence of postoperative loss of fixation in Spearman correlation nor relationship from backward logistic regression analysis. Loss of fixation following locked plating of proximal humeral fractures does not relate to the number of screws and their positions in the humeral head. In consequence, anatomic fracture reduction and restoration of the humeral head-shaft angle are still important factors and should not be disregarded.

Sign in / Sign up

Export Citation Format

Share Document