Supporting the medial hinge in proximal humerus fractures with an intramedullary plate

Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We descr...

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Detalles Bibliográficos
Autores principales: Gardenbroek, Tjibbe J., Oud, Sharon, Formijne Jonkers, Henk A., Goslings, J. Carel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102799/
https://www.ncbi.nlm.nih.gov/pubmed/33997224
http://dx.doi.org/10.1016/j.tcr.2021.100474
Descripción
Sumario:Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We describe two cases of patients with a dislocated 4-part humerus fracture treated with a locking plate and an additional small intramedullary plate to support the medial hinge. This technique is simple and allows for an enhanced stability of the medial hinge during and after surgery.

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