Surgical Fixation of Distal Periprosthetic Humerus Fractures using a Distal Femoral Locking Plate: Surgical Technique and Report of Three Cases
Journal Title: Majallah-i jarrāḥī-i ustukhvān va mafāṣil-i Īrān - Year 2018, Vol 16, Issue 3
Abstract
Periprosthetic fractures about the humerus are a rare but difficult complication of shoulder arthroplasty, occurring in up to 3% of cases. Depending on the fracture pattern, open reduction and internal fixation (ORIF) may be used to definitively treat these injuries. This article demonstrates a new technique that uses a distal femoral locking plate to maximize bony fixation of such periprosthetic humeral fractures. Between November 2008 and July 2016, three patients with periprosthetic humerus fractures were treated with open reduction internal fixation using a distal femoral locking plate. All patients were followed until radiographic union. Fractures occurred at a mean of 5.2 years after arthroplasty (range, 1 to 7.5 years). Two of the fractures were classified as Wright-Cofield Type C and one fracture was Wright-Cofield Type B. Surgical fixation was performed at a mean of 6 days after fracture. All were treated with a fixed angle distal femoral locking plate. Healing was confirmed radiographically for all three patients at a mean of 11.8 months (range 3 to 28.5 months). No patient required reoperation. Obtaining adequate bony fixation around periprosthetic humerus fractures remains challenging. The use of a distal femoral locking plate may be helpful in patients with long stem prostheses which require increased distal fixation. Level of Evidence: Level IV
Authors and Affiliations
Andrew Luzzi, Bradley Schoch, Mark Lazarus, J Gabriel Horneff
Keywords
Related Articles
- EP ID EP565426
- DOI -
- Views 99
- Downloads 0
Evaluation of Pathologic Reactions to Orthopedic Hardware (Nail and Plaque)
Backgrounds: Various studies have been conducted on the local and systemic effects of orthopedic hardware. This study aimed to evaluate the pathologic reactions to orthopedic hardware (nail and plate) in patients. Method...
Femoral Taperosis in Total Hip Arthroplasty
Total Hip Replacement has become one of the very common orthopedic surgeries that provide better life conditions for patients suffering from complex and painful hip problems. Considering the increasing growth of such sur...
Effect of Rotational Speed of Drill Bit on Surface Defects with H&E Stain in Bone Drilling (An Animal Study)
Background: Drilling of bone is used to fix the fractures with screws, wires or plates. The interaction between hole surface surface and fracture stabilization components is effective in the bonding strength of the stabi...
The Effect of 8 Degree Lateral Heel Wedge on Energy Consumption and Displacement of the Center of Pressure in Medial Compartment Knee Osteoarthritis in Frontal Plane
Background: Osteoarthritis is a response to the repeated and long term forces applied to the joint resulting in increased energy consumption and changes in the rate of displacement of the center of pressure in effected p...
Free-hand Pedicle Screw Placement in Adolescence Idiopathic Scoliosis
Background: Pedicle screw instrumentation has many advantages for correction of adolescent idiopathic scoliosis (AIS) deformity, but screw insertion in AIS could be challenging due to distorted anatomy of pedicles and al...