Literature DB >> 23749731

Can the osteosynthesis with locking plates be a better treatment for unstable fractures of the proximal humerus?

M A Verdano1, E Lunini, A Pellegrini, T Corsini, P Marenghi, F Ceccarelli.   

Abstract

PURPOSE: The purpose of this study is to review our experience with proximal humeral locking plates, including complications, functional outcomes, strength recovery and predictors of successful treatment.
METHODS: Seventy unstable proximal humeral fractures were treated with open reduction internal fixation (ORIF) with the use of locking proximal humerus plate. At an average follow-up of 31 months, the clinical and subjective outcomes were evaluated, and complication was analysed.
RESULTS: The average Constant score was 72. The mean disabilities of the arm, shoulder and hand score was 23. The average range of motion was as follows: mean range of anterior elevation and abduction 120°-150°; external rotation in abduction 64° and in adduction 44°; and internal rotation T12.
CONCLUSION: On the basis of the overall functional and clinical outcome obtained, it is possible to suggest that the ORIF of the proximal humerus fractures using locking plate represents a helpful option that can lead to a good clinical and functional outcome even in the most complex fractures.

Entities:  

Mesh:

Year:  2013        PMID: 23749731     DOI: 10.1007/s12306-013-0267-y

Source DB:  PubMed          Journal:  Musculoskelet Surg        ISSN: 2035-5114


  35 in total

1.  Effect of screw placement on fixation in the humeral head.

Authors:  A S Liew; J A Johnson; S D Patterson; G J King; D G Chess
Journal:  J Shoulder Elbow Surg       Date:  2000 Sep-Oct       Impact factor: 3.019

2.  Complex fractures of the proximal humerus in the elderly--outcome and complications after locking plate fixation.

Authors:  B Schliemann; J Siemoneit; Ch Theisen; C Kösters; A Weimann; M J Raschke
Journal:  Musculoskelet Surg       Date:  2012-05

3.  Update in the epidemiology of proximal humeral fractures.

Authors:  Mika Palvanen; Pekka Kannus; Seppo Niemi; Jari Parkkari
Journal:  Clin Orthop Relat Res       Date:  2006-01       Impact factor: 4.176

4.  Rigid internal fixation of fractures of the proximal humerus in older patients.

Authors:  B Hintermann; H H Trouillier; D Schäfer
Journal:  J Bone Joint Surg Br       Date:  2000-11

5.  Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus.

Authors:  A J Wijgman; W Roolker; T W Patt; E L F B Raaymakers; R K Marti
Journal:  J Bone Joint Surg Am       Date:  2002-11       Impact factor: 5.284

6.  Mid-term results of internal fixation of proximal humeral fractures with the Philos plate.

Authors:  Periklis Papadopoulos; Dimitrios Karataglis; Stavros I Stavridis; George Petsatodis; Anastasios Christodoulou
Journal:  Injury       Date:  2009-06-17       Impact factor: 2.586

7.  [The angle stable locking-proximal-humerus-plate (LPHP) for proximal humeral fractures using a small anterior-lateral-deltoid-splitting-approach - technique and first results].

Authors:  H Lill; P Hepp; T Rose; K König; C Josten
Journal:  Zentralbl Chir       Date:  2004-01       Impact factor: 0.942

8.  Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study.

Authors:  N Südkamp; J Bayer; P Hepp; C Voigt; H Oestern; M Kääb; C Luo; M Plecko; K Wendt; W Köstler; G Konrad
Journal:  J Bone Joint Surg Am       Date:  2009-06       Impact factor: 5.284

9.  Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures [corrected].

Authors:  Kevin C Owsley; John T Gorczyca
Journal:  J Bone Joint Surg Am       Date:  2008-02       Impact factor: 5.284

10.  Humeral locking nail: a preliminary report.

Authors:  H Seidel
Journal:  Orthopedics       Date:  1989-02       Impact factor: 1.390

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  5 in total

1.  Strength recovery after proximal humeral fractures treated with locking plate.

Authors:  M A Verdano; P Baudi; A Pellegrini; E Lunini; D Aliani; G Scita; P Schiavi; C Costantino; F Ceccarelli
Journal:  Musculoskelet Surg       Date:  2014-03-23

2.  Adult proximal humerus locking plate for fixation of paediatric subtrochanteric fractures.

Authors:  P Gogna; M Mohindra; S Verma; A Thora; A Tiwari; R Singla
Journal:  Musculoskelet Surg       Date:  2014-01-09

3.  Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment of proximal humerus fractures.

Authors:  Kuan Liu; Peng-cheng Liu; Run Liu; Xing Wu
Journal:  Med Sci Monit       Date:  2015-02-15

Review 4.  Complications Associated with Locking Plate of Proximal Humerus Fractures.

Authors:  Venkat Kavuri; Blake Bowden; Neil Kumar; Doug Cerynik
Journal:  Indian J Orthop       Date:  2018 Mar-Apr       Impact factor: 1.251

5.  Could direct transdeltoid approach to severely displaced proximal humerus fracture be advantageous for a better reduction?

Authors:  Tommaso Maluta; Andrea Amarossi; Manuel De Masi; Andrea Dorigotti; Matteo Ricci; Eugenio Vecchini; Stefano Negri; Elena Manuela Samaila; Bruno Magnan
Journal:  Acta Biomed       Date:  2022-03-10
  5 in total

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