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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۱۲، صفحات ۸۷۴-۸۷۵

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عنوان انگلیسی Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series - Letter to Editor
چکیده انگلیسی مقاله Abstract: We commend McDonald et al. for their innovative technique using intramedullary plating for complex proximal humerus fractures, particularly addressing the challenge of calcar comminution. Our approach, using an anterior deltoid split, contrasts with the deltopectoral method, offering enhanced lateral exposure and minimizing vascular disruption, thus facilitating fracture reduction. The displaced tuberosities allow for direct visualization, enabling secure intramedullary plate placement. Emphasizing robust humeral head support, we advocate for both proximal and distal plate fixation to maintain the neck-shaft angle during early rehabilitation. In elderly or osteoporotic patients, combining an intramedullary plate with allograft bone grafting significantly improves fracture stability and :union: rates, aligning with established biomechanical principles. This approach, supported by previous studies, underscores the efficacy of comprehensive fixation strategies in managing complex proximal humerus fractures.
کلیدواژه‌های انگلیسی مقاله Intramedullary Plating, Proximal Humerus Fracture, splitting deltoid muscle approach

نویسندگان مقاله | Kang Qin
Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, the Third Affiliated Hospital of Southern Medical University, China


| Can Liu
Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, the Third Affiliated Hospital of Southern Medical University, China


| Liang Zhao
Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, the Third Affiliated Hospital of Southern Medical University, China


| Yijun Wang
Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, the Third Affiliated Hospital of Southern Medical University, China



نشانی اینترنتی https://abjs.mums.ac.ir/article_24843.html
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