Title |
Current concepts in locking plate fixation of proximal humerus fractures
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Published in |
Journal of Orthopaedic Surgery and Research, September 2017
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DOI | 10.1186/s13018-017-0639-3 |
Pubmed ID | |
Authors |
Christoph J. Laux, Florian Grubhofer, Clément M. L. Werner, Hans-Peter Simmen, Georg Osterhoff |
Abstract |
Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has become a standard in stabilizing these fractures, but surgical revision rates of up to 25% stagnate at high levels. Therefore, it seems of utmost importance to select the right treatment for the right patient. This article provides an overview of available classification systems, indications for operative treatment, important pathoanatomic principles, and latest surgical strategies in locking plate fixation. The importance of correct reduction of the medial cortices, the use of calcar screws, augmentation with bone cement, double-plate fixation, and auxiliary intramedullary bone graft stabilization are discussed in detail. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 4 | 67% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 67% |
Practitioners (doctors, other healthcare professionals) | 2 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 133 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 18 | 14% |
Other | 15 | 11% |
Researcher | 12 | 9% |
Student > Master | 11 | 8% |
Student > Postgraduate | 10 | 8% |
Other | 31 | 23% |
Unknown | 36 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 58 | 44% |
Engineering | 12 | 9% |
Nursing and Health Professions | 3 | 2% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Unspecified | 2 | 2% |
Other | 8 | 6% |
Unknown | 48 | 36% |