How Many Proximal Screws Are Needed for a Stable Proximal Humerus Fracture Fixation?

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FEA of a proximal humerus fracture with a fixation plate

The fracture of the proximal humerus is the second most common injury to the upper extremity. In severe fractures, surgery may be necessary which can be in the form of a locking plate holding the bones in place. This study examines the effect of including a bonegraft alongside the locking plate. ScanIP and +ScanCAD (Simpleware Ltd) were used to segment the proximal humerus from a CT scan, and t...

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Outcome Analysis of Locking Plate Fixation in Proximal Humerus Fracture.

INTRODUCTION Proximal humerus fractures account for approximately 5% of all fractures. Stable minimally displaced fractures can be treated nonoperatively but the management of displaced fractures remain controversial with various modalities of treatment available. Locking plates provide stable fixation and enable early postoperative mobilization specially in osteoporotic proximal humerus fractu...

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Locking plate fixation for proximal humerus fractures.

Locking plates are increasingly used to surgically treat proximal humerus fractures. Knowledge of the bone quality of the proximal humerus is important. Studies have shown the medial and dorsal aspects of the proximal humeral head to have the highest bone strength, and this should be exploited by fixation techniques, particularly in elderly patients with osteoporosis. The goals of surgery for p...

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Nail Fixation of Proximal Humerus Fractures

Proximal humerus (PH) fractures are among the most fracture types. Surgery is indicated in displaced fractures. The charge-book for surgical management of PH fractures is restoring PH anatomy, obtaining stable osteosynthesis, and conserving PH vascularization. Proximal humerus nailing is an osteosynthesis technique we have been using since 2000. Our initial indication for using a nail for PH fr...

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 Proximal humerus fractures are common, but associated injury of the axillary artery is uncommon. The majority of published blunt traumatic axillary artery injuries are associated with anterior glenohumeral dislocation; a few are associated with isolated proximal humerus fractures or fracture-dislocation. Experience within our institution demonstrates that axillary artery injury is often unreco...

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ژورنال

عنوان ژورنال: Geriatric Orthopaedic Surgery & Rehabilitation

سال: 2021

ISSN: 2151-4593,2151-4593

DOI: 10.1177/2151459321992744