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 96
- Downloads 0
Biomechanical Effect of longitudinal meniscal tear with or without anterior Cruciate ligament tear in Knee (Finite Element Analyses)
Backgrounds: Characterization of mechanical behavior of meniscus is an important issue considering the significant role of meniscus in load bearing within the knee joint. Identification of mechanical change in meniscal t...
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...
Evaluation the effect of Pistacia atlantica hydro alcoholic extract with bone marrow- derived stem cells on induced knee osteoarthritis in rat
Background: Osteoarthritis is a progressive joint disease. Mastic fruit has antioxidant and anti-inflammatory properties. Bone marrow stem cells have the ability to differentiate into chondrocyte. The purpose of this stu...
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...
Writing an Orginal Article for Medicine and Health Sciences
Research in this age is of great importance. In the areas of product manufacturing and knowledge, the effect of research can be clearly seen. Thus, teaching how to write a scientific article can help. A point that is ver...