The amount of impaction and loss of reduction in osteoporotic proximal humeral fractures after surgical fixation
详细信息    查看全文
  • 作者:S. Carbone ; M. Papalia
  • 关键词:Complications ; Humeral head impaction ; Loss of reduction ; Metaphyseal comminution ; Osteoporosis ; Proximal humerus fractures
  • 刊名:Osteoporosis International
  • 出版年:2016
  • 出版时间:February 2016
  • 年:2016
  • 卷:27
  • 期:2
  • 页码:627-633
  • 全文大小:638 KB
  • 参考文献:1.Roux A, Decroocq L, El BAtti S, Bonnevialle N, Moineau G, Trojani C, Boileau P, de Peretti F (2012) Epidemiology of proximal humerus fractures managed in a trauma center. Orthop Traumatol Surg Res 98:715–719. doi:10.​1016/​j.​otsr.​2012.​05.​013 CrossRef PubMed
    2.Launonen AP, Lepola V, Saranko A, Flinkkilä T, Laitinen M, Mattila VM (2015) Epidemiology of proximal humerus fractures. Arch Osteoporos 10:209. doi:10.​1007/​s11657-015-0209-4 , Epub 2015 Feb 13 CrossRef PubMed
    3.Fankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R (2005) A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res 430:176–181CrossRef PubMed
    4.Rouleau DM, Laflamme GY, Berry GK, Harvey EJ, Delisle J, Girard J (2009) Proximal humerus fractures treated by percutaneous locking plate internal fixation. Orthop Traumatol Surg Res 95:56–62. doi:10.​1016/​j.​otsr.​2008.​09.​003 CrossRef PubMed
    5.Spross C, Platz A, Erschbamer M, Lattmann T, Dietrich M (2012) Surgical treatment of Neer Group VI proximal humeral fractures: retrospective comparison of PHILOS® and hemiarthroplasty. Clin Orthop Relat Res 470:2035–2042. doi:10.​1007/​s11999-011-2207-1 PubMedCentral CrossRef PubMed
    6.Bogner R, Hubner C, Matis N, Auffarth A, Lederer S, Resch H (2008) Minimally-invasive treatment of three- and four-part fractures of the proximal humerus in elderly patients. J Bone Joint Surg (Br) 90:1602–1607CrossRef
    7.Resch H, Beck E, Bayley J (1995) Reconstruction of valgus impacted humeral head fractures—indication, technique and long term results. J Shoulder Elb Surg 4:73–80CrossRef
    8.Owsley KC, Gorczyca JT (2008) Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures [corrected]. J Bone Joint Surg Am 90:233–240. doi:10.​2106/​JBJS.​F.​01351 CrossRef PubMed
    9.Südkamp N, Bayer J, Hepp P, Voigt C, Oestern H, Kääb M, Luo C, Plecko M, Wendt K, Köstler W, Konrad G (2009) Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study. J Bone Joint Surg Am 91:1320–1328. doi:10.​2106/​JBJS.​H.​00006 CrossRef PubMed
    10.Jost B, Spross C, Grehn H, Gerber C (2013) Locking plate fixation of fractures of the proximal humerus: analysis of complications, revision strategies and outcome. J Shoulder Elb Surg 22:542–549. doi:10.​1016/​j.​jse.​2012.​06.​008 CrossRef
    11.Krappinger D, Bizzotto N, Riedmann S, Kammerlander C, Hengg C, Kralinger FS (2011) Predicting failure after surgical fixation of proximal humerus fractures. Injury 42:1283–1288. doi:10.​1016/​j.​injury.​2011.​01.​017 CrossRef PubMed
    12.Tepass A, Blumenstock G, Weise K, Rolauffs B, Bahrs C (2013) Current strategies for the treatment of proximal humeral fractures: an analysis of a survey carried out at 348 hospitals in Germany, Austria, and Switzerland. J Shoulder Elb Surg 22:e8–14. doi:10.​1016/​j.​jse.​2012.​04.​002 CrossRef
    13.Walsh S, Reindl R, Harvey E, Berry G, Beckman L, Steffen T (2006) Biomechanical comparison of a unique locking plate versus a standard plate for internal fixation of proximal humerus fractures in a cadaveric model. Clin Biomech (Bristol, Avon) 21:1027–1031. doi:10.​1016/​j.​clinbiomech.​2006.​06.​005 CrossRef
    14.Gardner MJ, Weil Y, Barker JU, Kelly BT, Helfet DL, Lorich DG (2007) The importance of the medial support in locked plating of proximal humerus fracture. J Orthop Trauma 21:185–191CrossRef PubMed
    15.Solberg BD, Moon CN, Franco DP, Paiement GD (2009) Surgical treatment of three and four-part proximal humeral fractures. J Bone Joint Surg Am 91:1689–1697. doi:10.​2106/​JBJS.​H.​00133 CrossRef PubMed
    16.Resch H (2011) Proximal humeral fractures: current controversies. J Shoulder Elb Surg 20:827–832CrossRef
    17.Majed A, Macleod I, Bull AM, Zyto K, Resch H, Hertel R, Reilly P, Emery RJ (2011) Proximal humeral fracture classification systems revisited. J Shoulder Elb Surg 20:1125–1132. doi:10.​1016/​j.​jse.​2011.​01.​020 CrossRef
    18.Carbone S, Moroder P, Arceri V, Postacchini R, Gumina S (2014) The amount of humeral head impaction of proximal humeral fractures fixed with the Humerusblock® device. Int Orthop 38:1451–1459. doi:10.​1007/​s00264-014-2327-9 PubMedCentral CrossRef PubMed
    19.Mather J, MacDermid JC, Faber KJ, Athwal GS (2013) Proximal humerus cortical bone thickness correlates with bone mineral density and can clinically rule out osteoporosis. J Shoulder Elb Surg 22:732–738. doi:10.​1016/​j.​jse.​2012.​08.​018 , Epub 2012 Nov 22 CrossRef
    20.Hertel R, Hempfing A, Stiehler M, Leunig M (2004) Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elb Surg 13:427–433CrossRef
    21.Gardner MJ, Griffith MH, Dines JS, Briggs SM, Weiland AJ, Lorich DG (2010) The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus. Clin Orthop Relat Res 434:123–129
    22.Bahrs C, Rolauffs B, Dietz K, Eingartner C, Weise K (2010) Clinical and radiological evaluation of minimally displaced proximal humeral fractures. Arch Orthop Trauma Surg 130:673–679. doi:10.​1007/​s00402-009-0975-9 CrossRef PubMed
    23.Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed
    24.Kukkonen J, Kauko T, Vahlberg T, Joukainen A, Aärimaa V (2013) Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery. J Shoulder Elb Surg 22:1650–1655. doi:10.​1016/​j.​jse.​2013.​05.​002 CrossRef
    25.Landis JR, Koch GC (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRef PubMed
    26.Lill H, Hopp P, Korner J, Kassi J, Verheyda A, Josten C et al (2004) Proximal humerus fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens. Arch Orthop Trauma Surg 123:74–81
    27.Russo R, Cautiero F, Della Rotonda G (2012) The classification of complex 4-part humeral fractures revisited: the missing fifth fragment and indications for surgery. Musculoskelet Surg 96(Suppl 1):S13–19. doi:10.​1007/​s12306-012-0195-2 CrossRef PubMed
    28.Liew AS, Johnson JA, Patterson SD et al (2000) Effect of screw placement on fixation in the humeral head. J Shoulder Elb Surg 9:423–426CrossRef
    29.Robinson CM, Page RS (2004) Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am 86-A(Suppl 1(Pt 2)):143–155PubMed
    30.Egol KA, Sugi MT, Ong CC, Montero N, Davidovitch R, Zuckerman JD (2012) Fracture site augmentation with calcium phosphate cement reduces screw penetration after open reduction-internal fixation of proximal humeral fractures. J Shoulder Elb Surg 21:741–748. doi:10.​1016/​j.​jse.​2011.​09.​017 CrossRef
    31.Bengard MJ, Gardner MJ (2011) Screw depth sounding in proximal humerus fractures to avoid iatrogenic intra-articular penetration. J Orthop Trauma 25:630–633CrossRef PubMed
    32.Hertel R, Knothe U, Ballmer FT (2002) Geometry of the proximal humerus and implications for prosthetic design. J Shoulder Elb Surg 11:331–338CrossRef
  • 作者单位:S. Carbone (1)
    M. Papalia (2)

    1. Department Of Molecular Medicine, Sapienza University of Rome, Rome, Italy
    2. Department Of Orthopaedics and Traumatology, Clinica Nuova Itor, Rome, Italy
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Orthopedics
    Gynecology
    Endocrinology
    Rheumatology
  • 出版者:Springer London
  • ISSN:1433-2965
文摘
Summary After surgical fixation, osteoporotic proximal humeral fractures often show high impaction and loss of reduction. This study aims at assessing the amount of impaction and loss of reduction at a short and medium follow-up. We found an alarming percentage of cases showing these complications in the first postoperative months.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700