scholarly journals Optimal viewing angles of intraoperative fluoroscopy for detecting screw penetration in proximal humeral fractures: a cadaveric study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Qiuke Wang ◽  
Yifei Liu ◽  
Ming Zhang ◽  
Yu Zhu ◽  
Lei Wang ◽  
...  
Keyword(s):  
Cadaveric Study ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Intraoperative Fluoroscopy ◽  
Screw Penetration

scholarly journals Reduction and Fixation of Proximal Humeral Fracture With Severe Medial Instability Using a Small Locking Plate

2021 ◽  
Author(s):  
Yuelei Zhang ◽  
Lifu Wan ◽  
Lecheng Zhang ◽  
Chao Yan ◽  
Gang Wang
Keyword(s):  
Locking Plate ◽  
Constant Score ◽  
Operation Time ◽  
Humeral Fracture ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Final Visit ◽  
Medial Cortex ◽  
Screw Penetration ◽  
The Mean

Abstract Background Currently, the reduction and support of comminuted medial cortex of humeral fracture remains a challenge, Therefore, a novel reduction and fixation technique that employs an anteromedial small locking plate was explored in this study, and its viability and the associated complications were assessed. Methods Fifteen cases of proximal humeral fractures with medial instability (five cases were classified as three-part and ten as four-part by Neer classification) were treated by the proposed reduction technique using an anteromedial small locking plate. Subsequently, the radiological and clinical outcomes were evaluated over an average follow-up period of 18.53 months. Results The average operation time was 108 minutes (range, 70–130 minutes), and the mean fracture union time in all patients was 12.13 weeks (range, 8–16 weeks). Complications such as infection and neurovascular injury were not observed. Postoperative X-ray showed avascular necrosis and screw penetration in one patient, while screw penetration, varus malunion, or significant reduction loss was not found in the other cases. The mean Constant score was 79.8 (range, 68–92) during the final visit. Conclusions The use of an anteromedial small locking plate improved the reduction efficiency, reconstructed the medial support, and alleviated the occurrence of complications in proximal humeral fractures with medial instability.

scholarly journals Correlation between classification and secondary screw penetration in proximal humeral fractures

PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0183164 ◽  
Author(s):  
Qiuke Wang ◽  
Yu Zhu ◽  
Yifei Liu ◽  
Lei Wang ◽  
Yunfeng Chen
Keyword(s):  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Screw Penetration

scholarly journals Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuelei Zhang ◽  
Lifu Wan ◽  
Lecheng Zhang ◽  
Chao Yan ◽  
Gang Wang
Keyword(s):  
Locking Plate ◽  
Constant Score ◽  
Operation Time ◽  
Humeral Fracture ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Final Visit ◽  
Medial Cortex ◽  
Screw Penetration ◽  
The Mean

Abstract Background Currently, the reduction and support of comminuted medial cortex of humeral fracture remains a challenge, Therefore, a novel reduction and fixation technique that employs an anteromedial small locking plate was explored in this study, and its viability and the associated complications were assessed. Methods Fifteen cases of proximal humeral fractures with medial instability (five cases were classified as three-part and ten as four-part by Neer classification) were treated by the proposed reduction technique using an anteromedial small locking plate. Subsequently, the radiological and clinical outcomes were evaluated over an average follow-up period of 18.53 months. Results The average operation time was 108 min (range, 70–130 min), and the mean fracture union time in all patients was 12.13 weeks (range, 8–16 weeks). Complications such as infection and neurovascular injury were not observed. Postoperative X-ray showed avascular necrosis and screw penetration in one patient, while screw penetration, varus malunion, or significant reduction loss was not found in the other cases. The mean Constant score was 79.8 (range, 68–92) during the final visit. Conclusions The use of an anteromedial small locking plate improved the reduction efficiency, reconstructed the medial support, and alleviated the occurrence of complications in proximal humeral fractures with medial instability.

scholarly journals Philos Plate Fixation for Displaced Proximal Humeral Fractures

2009 ◽  
Vol 17 (1) ◽  
pp. 15-18 ◽  
Author(s):  
MA Fazal ◽  
FS Haddad
Keyword(s):  
Plate Fixation ◽  
Functional Results ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Non Union ◽  
Philos Plate ◽  
Screw Penetration ◽  
The Mean ◽  
Metal Work ◽  
Shoulder Score

Purpose. To evaluate the treatment outcome of Philos plate fixation for displaced proximal humeral fractures in 27 consecutive patients. Methods. 6 men and 21 women aged 22 to 85 (mean, 56) years underwent Philos plate fixation for displaced proximal humeral fractures. 11 patients were aged ≤60 years and 16 >60 years. All fractures were closed with no associated injuries and classified as 2-part (n=13), 3-part (n=12), and 4-part (n=2), according to the Neer classification. Patients were assessed radiologically and functionally using the Constant shoulder score. Results. Patients were followed up for 6 to 24 (mean, 13) months. All the fractures united except in a 76-year-old woman with a 3-part fracture in whom there was fracture collapse and screw penetration of the humeral head at 6 weeks. She subsequently developed non-union and avascular necrosis. The mean Constant shoulder score was 70 (range, 28–88). 11 patients had a score exceeding 75, 13 were scored between 50 and 75, and 3 were below 50. Conclusion. Philos plate fixation provided stable fixation, minimal metal work problems and enabled early range-of-motion exercises to achieve acceptable functional results.

scholarly journals Surgical Treatment of the Displaced Proximal Humeral Fractures in Adults with Philos Plate

2019 ◽  
Vol 10 (2) ◽  
pp. 80-82
Author(s):  
MHM Alamgir ◽  
SM Amir Hossain ◽  
Anupam Barua ◽  
Abdul Kader ◽  
Salauddin M Monzer ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Associated Injuries ◽  
Philos Plate ◽  
Screw Penetration ◽  
A Prospective Study ◽  
Metal Work ◽  
Shoulder Score ◽  
Varus Position

Aim: To evaluate the treatment outcome of Philos plate fixation for displaced proximal humeral fractures in 17 patients. Methods: This was a prospective study with 17 patients, 11 women, 6 men with average age 62yr having displaced proximal humeral fractures fixed with Philos plate. All the fractures were closed and no associated injuries, classified as 2 part (n=12),3 part (n=3),4part (n=2) according to Neer classification. All patients were evaluated clinically, functionally and radiologically using the Constant Shoulder Score. Results: Patients were followed up for 6 to 24 months. All the fractures healed except one which was four part fracture in 65yr woman. The fracture was in varus position and screw penetration of humeral head at six week. Revision surgery was done and eventually fracture united. Conclusion: Philos plate fixation is a good stable construct with minimal metal work problems and permit early movement J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 80-82

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