{Reference Type}: Journal Article
{Title}: Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series.
{Author}: Mc Donald S;Yoong A;Skrzypiec P;Johnstone A;
{Journal}: Arch Bone Jt Surg
{Volume}: 12
{Issue}: 6
{Year}: 2024
暂无{DOI}: 10.22038/ABJS.2024.74258.3437
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.