Outcome evaluation of proximal humerus fractures management by proximal humeral internal locking plates- A clinico- radiological study
Keywords:
evaluation, proximal humeral, radiologicalAbstract
Introduction: Proximal humerus fractures are amongst the most common upper extremity fractures that are found in elderly as well as young age groups. Although majority of them are treated conservatively, due to the demand for early return to the daily activities and problems of late collapse/ displacement with conservative measures there arise a need for plate ostesynthesis. Amongst the various methods of fixation, Proximal humerus intrlocking plates designs promise an opportunity to minimize the common complicsations. However, a gap still exists between in vitro results and clinical outcomes. Addressing to the limitations and need to evaluate the efficacy of the currently available proximal humerual interlocking plates, the purpose of this study will be to evaluate the short and medium term functional resultys with fixation of proximal humerus fracture and review the common complications associated. Materials and methods: In this prospective observational study, conducted at a tertiary care centre, patients from 18-85 age group were selected according to the inclusion and exclusion criteria.
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Thompson JH, Attum B, Rodriguez-Buitrago A, Yusi K. Cereijo C. Obremskey WT. Open Reduction and Internal Fixation with a Locking Plate Via Deltopectoral Approach for the Treatment of Three and Four-Part and Proximal Humeral Fractures. JBJS Essential Surgical Techniques. 2018 Dec 26,8(4):e26.
Chen Y, Jia X, Qiang M, Zhang K, Chen S. Computer-Assisted Virtual Surgical Technology Versus Three-Dimensional Printing Technology in Preoperative Planning for Displaced Three and Four-Part Fractures of the Proximal End of the Humerus. JBJS. 2018 Nov 21:100(22):1960-8
Gartsman GM. Hasan SS. What's new in shoulder and elbow surgery. JBJS 2006 Jan 1:88(1):230-43.
Ramsey ML, Getz CL, Parsons BO. What's new in shoulder and elbow surgery JBJS. 2009 May 1:91(5):1283-93.
Ramsey ML, Getz CL, Parsons BO. What's new in shoulder and elbow Surgery. JBJS 2010 Apr 1:92(4):1047-61.
Brorson S. Management of fractures of the humerus in Ancient Egypt, Greece, and Rome: an historical review. Clinical Orthopaedics and Related ResearchⓇ 2009 Jul 1:467(7):1907- 14:
Hertel R, Hempfing A. Stiehler M. Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. Journal of shoulder and elbow surgery. 2004 Jul 1:13(4):427-33.
Brooks CH, Revell WJ, Heatley FW. Vascularity of the humeral head after proximal humeral fractures. An anatomical cadaver study. The Journal of bone and joint surgery. British volume. 1993 Jan;75(1):132-6.
Guse TR, Ostrum RF. The surgical anatomy of the radial nerve around the humerus. Clinical orthopaedics and related research 1995 Nov(320):149-53
Available from URL: https://www.knowyourbody.net/humerus-bone.html
Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta orthopaedica Scandinavica 2001 Jan 1;72(4):365-71.
Misra A. Kapur R. Maffulli N. Complex proximal humeral fractures in adults-a systematic review of management. Injury. 2001 Jun 1,32(5):363-72.
CHARLES S NEER II. Displaced proximal humeral fractures: Part II. Treatment of three-part and four-part displacement. JBJS. 1970 Sep 1:52(6)1090-103
Lind T. Krøner K, Jensen J. The epidemiology of fractures of the proximal humerus. Archives of orthopaedic and trauma surgery. 1989 Sep 1:108(5):285-7.
Melton III LJ. Atkinson EJ, O'Fallon WM, Wahner HW, Riggs BL. Long-term fracture prediction by bone mineral assessed at different skeletal sites. Journal of Bone and Mineral Research. 1993 Oct;8(10):1227-33.
Kristiansen B, Andersen UL, Olsen CA, Varmarken JE. The Neer classification of fractures of the proximal humerus. Skeletal radiology. 1988 Sep 1;17(6):420-2.
Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Mole D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. Journal of shoulder and elbow surgery. 2002 Sep 1:11(5):401-12
Sidor ML, Zuckerman JD, Lyon T. Koval K, Cuomo F. Schoenberg N. The Neer classification system for proximal humeral fractures. An assessment of interobserver reliability and intraobserver reproducibility. JBJS. 1993 Dec 1;75(12): 1745-50.
Neer CS. The classic: displaced proximal humeral fractures: part i. classification and evaluation. Clinical Orthopaedics and Related Research. 2006 Jan 1:442:77-82
Plecko M. Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. Operative Orthopadie und Traumatologie. 2005 Feb;17(1):25-50.
Hessmann MH, Sternstein W, Hansen M, Krummenauer F, Pol TF, Rommens M Locked-plate fixation and intramedullary nailing for proximal humerus fractures: a biomechanical evaluation. Journal of Trauma and Acute Care Surgery, 2005 Jun 1.58(6): 1194-201
Anjum SN, Butt MS. Treatment of comminuted proximal humerus fractures with shoulder hemiarthroplasty in elderly patients. Acta orthopaedica belgica. 2005 Aug.71(4):388.
Gardner MJ, Weil Y, Barker JU, Kelly BT, Helfet DL, Lorich DG. The importance of medial support in locked plating of proximal humerus fractures. Journal of orthopaedic trauma 2007 Mar 1:21(3):185-91.
Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plates: tips and tricks. JBJS. 2007 Oct 1;89(10):2298-307
Gardner MJ, Griffith MH, Demetrakopoulos D, Brophy RH, Grose A, Helfet DL, Lorich DG. Hybrid locked plating of osteoporotic fractures of the humerus. JBJS 2006 Sep 1;88(9):1962-7.
Shahid R, Mushtaq A, Northover J, Maqsood M. Outcome of proximal humerus fractures treated by PHILOS plate internal fixation. Experience of district general hospital. Acta a Orthopaedica Belgica 2008 Oct 1;74(5):602.
Hirschmann MT. Fallegger B, Amsler F, Regazzoni P. Gross T. Clinical longer-term results after internal fixation of proximal humerus fractures with a locking compression plate (PHILOS). Journal of orthopaedic trauma 2011 May 1,25(5):286-93.
Fazal MA, Baloch 1, Ashwood N. Polarus nail fixation for proximal humeral fractures. Journal of Orthopaedic Surgery. 2014 Aug,22(2):195-8
Sen RK. Tripathy SK, Kumar A. Agarwal A, Aggarwal S, Dhatt S. Metaphyseo-diaphyseal junction fracture of distal humerus in children. Journal of Pediatric Orthopaedics B. 2012 Mar 1:21(2):109-14.
Pawaskar AC, Lee KW, Kim JM, Park JW, Aminata IW, Jung HJ, Chun JM, Jeon IH. Locking plate for proximal humeral fracture in the elderly population: serial change of neck shaft angle. Clinics in orthopedic surgery. 2012 Sep 1,4(3):209-15.
Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. Journal of shoulder and elbow surgery. 2004 Jul 1:13(4):427-33.
Berkes MB, Little MT, Lorich DG. Open reduction internal fixation of proximal humerus fractures. Curr Rev Musculoskelet Med 2013; 6: 47-56.
Krappinger D. Bizzotto N, Riedmann S, Kammerlander C, Hengg C. Kralinger FS. Predicting failure after surgical fixation of proximal humerus fractures. Injury. 2011 Nov 1;42(11):1283-8.
Hintermann B, Trouillier HH, Schäfer D. Rigid internal fixation of fractures of the proximal humerus in older patients. The Journal of bone and joint surgery. British volume 2000 Nov;82(8):1107- 12.
Edwards SL. Wilson NA, Zhang LQ, Flores S, Merk BR. Two-part surgical neck fractures of the proximal part of the humerus: a biomechanical evaluation of two fixation techniques. JBJS, 2006 Oct 1:88(10):2258-64.
Björkenheim JM. Pajarinen J, Savolainen V Internal fixation of proximal humeral fractures with a locking compression plate A retrospective evaluation of 72 patients followed for a minimum of 1 year. Acta Orthopaedica Scandinavica. 2004 Jan 1;75(6):7415.
Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD. Management of proximal humeral fractures based on current literature. JBJS 2007 Oct 1,89:44-58.
Charalambous CP, Siddique I, Valluripalli K. Kovacevic M, Panose P, Srinivasan M, Marynissen H. Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures. Archives of orthopaedic and trauma surgery. 2007 Apr 1;127(3):205-10.
Namm JD, Morris RP, Speck III FL, Lindsey RW. The impact of eccentric diaphyseal plate and screw placement on the risk of peri-implant fracture. JBJS. 2018 Oct 17:100(20):1765-70
Moonot P. Ashwood N, Hamlet M. Early results for treatment of three-and four-part fractures of the proximal humerus using the PHILOS plate system. The Journal of bone and joint surgery. British volume. 2007 Sep;89(9):1206-9
Schumaier A, Grawe B. Proximal humerus fractures: Evaluation and management in the elderly patient. Geriatric orthopaedic surgery & rehabilitation. 2018 Jan 20;9:2151458517750516.
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