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 65
- Downloads 0
Prediction of Distal Femoral Mechanical Strength Following Tumor Curettage and Cementation Using Quantitative Computed Tomography-based Finite Element Method
Background: Tumor curettage and cementation is a widely-used treatment of benign bone tumors in the distal femur. While postoperative fracture is a common complication, no criterion or biomechanical data is available to...
Comparison of Preoperative Methods of Intramedullary Nail Length Measurement and Determination of the Best Estimation in Femur and Tibia Fractures
Background: Tibial and femoral fractures are among the common fractures and are usually treated with intramedullary nails, being often treated by intramedullary nailing. This study was performed to determine the best pre...
Acrometastasis to Two Phalanges of a Single Phalanx and Tibia
Acrometastasis or metastasis distal to elbow and/or knee is a very rare event. A 31 y/o female, a known case of breast cancer for 3 years presented with a swollen 4th right finger. Radiographs and then biopsy showed sepa...
Elderly Femoral Neck Fracture: Hemiarthroplasty via Direct Anterior Approach Surgical Techniques and Literature Review
Introduction: Nowadays, there is consensus regarding arthroplasty as the preferred treatment method for displaced femoral neck fracture among the elderly population. Although posterior and lateral surgical approaches are...
Prevalence of Congenital Foot Abnormalities in Newborns: (A Descriptive Study on 2025 Newborns in Northern Iran)
Background: congenital foot deformities are among the most common congenital abnormalities causing morbidities, disturbing the normal gait and affecting patients’ quality of life. The aim of our study was to find out the...