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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۶، صفحات ۴۰۷-۴۱۱
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عنوان انگلیسی Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series
چکیده انگلیسی مقاله Objectives: To assess fracture :union: rates using novel intramedullary plate technique. Post-operative humeral neck-shaft angles, patient range of motion and complication profile were secondary outcomes of interest.Methods: Single surgeon, retrospective case series of surgical technique at major trauma centre in Scotland. A 2.0mm mini-fragment plate was secured to the humeral head to act as an intramedullary strut during fixation in complex proximal humerus fractures. Fracture :union: and neck-shaft angle were assessed radiologically, whilst range of motion and complication profiles were assessed clinically.Results: Twelve patients were followed up for an average of 10 months post-operatively. All achieved bony :union: with a mean neck-shaft angle of 128°. Mean range of motion values were 100° forward elevation, 83° abduction, 60° internal rotation and 37° external rotation. Four patients required further surgical intervention- two for hardware prominence, one for adhesive capsulitis and one for subsequent rotator cuff failure. There were no cases of avascular necrosis or infection.Conclusion: This novel technique addresses the established biomechanical propensity of proximal humerus fractures to fail in varus collapse and screw cut-out. This method provides an alternative to arthroplasty in the most severe proximal humerus fractures and is readily adopted via standard orthopaedic kit. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله calcar, Complex, Proximal humeral fracture, varus collapse
نویسندگان مقاله | Stephen Mc. Donald
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland


| Andrel Yoong
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland


| Piotr Skrzypiec
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland


| Alan Johnstone
Dept of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland
نشانی اینترنتی https://abjs.mums.ac.ir/article_24230.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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