PROXIMAL HUMERAL FRACTURES TREATED WITH LOCKED PLATING AND AN INTRAMEDULLARY STRUT ALLOGRAFT: A RETROSPECTIVE ANALYSIS.

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Presentation transcript:

PROXIMAL HUMERAL FRACTURES TREATED WITH LOCKED PLATING AND AN INTRAMEDULLARY STRUT ALLOGRAFT: A RETROSPECTIVE ANALYSIS

27 PATIENTS 27 PATIENTS 23 FIBULA AND 4 SEMITUBULAR PLATES 96% PATIENTS MAINTAINED REDUCTION 96% PATIENTS MAINTAINED REDUCTION C ONCLUSION : C ONCLUSION : E NDOSTEAL IMPLANT WITH LOCKING PLATE CAN AVOID VARUS COLLAPSE Locked Plating of the Proximal Humerus Using an Endosteal Implant Hettrich, Neviaser, Beamer et al; 2012; 26(4); Proximal Humeral Fracture Fixation: Locking Plate Constuct +/- Intramedullary fibular allograft Chow, Begum, Beaupre, Carey 2012 Jul;21(7):

LOCKED LATERAL PLATING COMBINED WITH AN INTRAMEDULLARY ALLOGRAFT FOR THE TREATMENT OF PROXIMAL HUMERUS FRACTURES WOULD BE SIMILAR TO PUBLISHED STUDIES AND MITIGATE VARUS COLLAPSE LOCKED LATERAL PLATING COMBINED WITH AN INTRAMEDULLARY ALLOGRAFT FOR THE TREATMENT OF PROXIMAL HUMERUS FRACTURES WOULD BE SIMILAR TO PUBLISHED STUDIES AND MITIGATE VARUS COLLAPSE

R ETROSPECTIVE ANALYSIS OF ALL 2-,3- AND 4- PART FRACTURES TREATED WITH LOCKED PLATING AND INTRAMEDULLARY ALLOGRAFT R ETROSPECTIVE ANALYSIS OF ALL 2-,3- AND 4- PART FRACTURES TREATED WITH LOCKED PLATING AND INTRAMEDULLARY ALLOGRAFT 2 PART —19(30%) 3 PART —33(50%) 4 PART —13(20%)

A LLOGRAFT STRUT HELPFUL AS REDUCTION AID AND INITIAL STABILITY IN SITUATIONS OF METAPHYSEAL AND MEDIAL CALCAR COMMINUTION A LLOGRAFT STRUT HELPFUL AS REDUCTION AID AND INITIAL STABILITY IN SITUATIONS OF METAPHYSEAL AND MEDIAL CALCAR COMMINUTION VARUS COLLAPSE WAS NOT DIMINISHED BY USE OF AN ALLOGRAFT STRUT VARUS COLLAPSE WAS NOT DIMINISHED BY USE OF AN ALLOGRAFT STRUT UTILITY OF THIS TECHNIQUE IN “ SOLVING ” THIS PROBLEM IS QUESTIONED UTILITY OF THIS TECHNIQUE IN “ SOLVING ” THIS PROBLEM IS QUESTIONED R EVISION SURGERY HARDER R EVISION SURGERY HARDER A VOIDANCE OF THIS COMPLICATION IS LIKELY MULTIFACTORIAL RELATED TO TECHNICAL FACTORS ( MEDIAL SUPPORT, CALCAR SCREWS, ETC ) AND PATIENT FACTORS ( OSTEOPOROSIS, PATIENT COMPLIANCE, ETC ) A VOIDANCE OF THIS COMPLICATION IS LIKELY MULTIFACTORIAL RELATED TO TECHNICAL FACTORS ( MEDIAL SUPPORT, CALCAR SCREWS, ETC ) AND PATIENT FACTORS ( OSTEOPOROSIS, PATIENT COMPLIANCE, ETC )