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

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 complica...

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Autores principales:	Yuelei Zhang, Lifu Wan, Lecheng Zhang, Chao Yan, Gang Wang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anteromedial locking plate Humeral fracture Humeral calcar Medial support PHILOS Surgery RD1-811
Acceso en línea:	https://doaj.org/article/2cc589e79ce944e69f544fc6fc386828
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spelling	oai:doaj.org-article:2cc589e79ce944e69f544fc6fc3868282021-11-07T12:10:01ZReduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate10.1186/s12893-021-01388-91471-2482https://doaj.org/article/2cc589e79ce944e69f544fc6fc3868282021-10-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01388-9https://doaj.org/toc/1471-2482Abstract 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.Yuelei ZhangLifu WanLecheng ZhangChao YanGang WangBMCarticleAnteromedial locking plateHumeral fractureHumeral calcarMedial supportPHILOSSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anteromedial locking plate Humeral fracture Humeral calcar Medial support PHILOS Surgery RD1-811
spellingShingle	Anteromedial locking plate Humeral fracture Humeral calcar Medial support PHILOS Surgery RD1-811 Yuelei Zhang Lifu Wan Lecheng Zhang Chao Yan Gang Wang Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
description	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.
format	article
author	Yuelei Zhang Lifu Wan Lecheng Zhang Chao Yan Gang Wang
author_facet	Yuelei Zhang Lifu Wan Lecheng Zhang Chao Yan Gang Wang
author_sort	Yuelei Zhang
title	Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
title_short	Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
title_full	Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
title_fullStr	Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
title_full_unstemmed	Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
title_sort	reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2cc589e79ce944e69f544fc6fc386828
work_keys_str_mv	AT yueleizhang reductionandfixationofproximalhumeralfracturewithseveremedialinstabilityusingasmalllockingplate AT lifuwan reductionandfixationofproximalhumeralfracturewithseveremedialinstabilityusingasmalllockingplate AT lechengzhang reductionandfixationofproximalhumeralfracturewithseveremedialinstabilityusingasmalllockingplate AT chaoyan reductionandfixationofproximalhumeralfracturewithseveremedialinstabilityusingasmalllockingplate AT gangwang reductionandfixationofproximalhumeralfracturewithseveremedialinstabilityusingasmalllockingplate
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Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate

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