Proximal humerus fracture fracture fixation. Medical search. Frequent questions

Common complications for open reduction internal fixation (ORIF) of humeral shaft fractures include radial nerve injury, infection, and hardware failure 3 . (researchsquare.com)
Ideal plate and screw fixation construct for open reduction and internal fixation of humeral shaft fractures remains controversial. (researchsquare.com)
Open reduction internal fixation for proximal humerus fractures indications, techniques, and pitfalls. (iorg.co.in)
Internal fixation with locked plating is the current mainstay of treatment for functionally active patients who desire minimal loss of function. (iorg.co.in)
A thorough understanding of the indications, techniques, and drawbacks of treatment with internal fixation is essential to achieve the highest quality of patient care. (iorg.co.in)
Complications of Internal Fixation: What Now? (foreonline.org)
Maintenance of Hardware After Early Postoperative Infection for Fracture Internal Fixation. (wustl.edu)
Locking and nonlocking constructs achieve similar radiographic and clinical outcomes for internal fixation of intraarticular distal humerus fractures. (wustl.edu)
Catastrophic failure following open reduction internal fixation of femoral neck fractures with a novel locking plate implant. (wustl.edu)
Malleolar fractures and their ligamentous injury equivalents have similar outcomes in supination external rotation type IV ankle fractures treated by anatomical internal fixation. (wustl.edu)
Open reduction internal fixation of proximal humerus fractures. (wustl.edu)
Outcomes of Schatzker II tibial plateau fracture open reduction internal fixation using structural bone allograft. (wustl.edu)
Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. (ijoro.org)
During a 24-month period, 99 patients with proximal humerus fracture with OTA type 11A, 11B, 11c were treated operatively with open reduction and internal fixation with angular stability locking plate at a level 1 trauma center. (asesjournal.com)
9. Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. (asesjournal.com)
These patients underwent arthroscopically assisted reduction and internal fixation of the greater tuberosity fractures. (biomedcentral.com)
There were no reported complications such as fracture displacement, nonunion, and internal fixation failure during the follow-up period. (biomedcentral.com)
Therefore, when the fracture appears displaced, reduction and internal fixation of the greater tuberosity fractures are necessary. (biomedcentral.com)
Most proximal humerus fractures can be managed conservatively, but 3-part and 4-part fractures are unstable and need internal fixation. (orthopaper.com)
Anatomical reduction and internal fixation with LCP was done in all patients. (orthopaper.com)
Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction, internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
During the 1950s, Danis and Muller began to define the principles and techniques of internal fixation. (medscape.com)
Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.com)
Arthroscopy-Assisted Reduction-Internal Fixation in Greater and Lesser Humeral Tuberosity Fracture -- 14. (nshealth.ca)
Arthroscopic Reduction and Internal Fixation of Femoral Head Fractures -- 25. (nshealth.ca)
Recent trends are shifting away from open reduction and massive internal fixation (by plates and screws) toward closed reduction and percutaneous fixation as this method is less invasive soft tissue damage and minimal risk of iatrogenic avascular necrosis. (ojmpc.com)
Evidence from a multicentre randomised controlled trial suggests equivalent outcomes from open reduction and internal fixation (ORIF) or hemiarthroplasty to non-operative management in patients without a clear indication for surgical intervention [ 6 ] . (encyclopedia.pub)
Fibular Strut Graft Augmentation for Open Reduction and Internal Fixation of Proximal Humerus Fractures: A Systematic Review and the Authors' Preferred Surgical Technique. (joshuaharrismd.com)
We describe a case of 22 years young male weighing 65 kg, with no comorbidities, having proximal humerus fracture was planned for open reduction and internal fixation. (clinmedjournals.org)

We reviewed all patients who underwent humeral shaft ORIF over a 9-year period to evaluate modes and location of failure by fracture type and fixation construct, as well as to determine the risk factors contributing to failure. (researchsquare.com)

While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)
In order to evaluate the benefits and risks of the various surgical techniques, it is important first to understand the natural history of non-operatively managed fractures, and to know the outcomes of the different surgical options. (scielo.org.za)
However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)
When properly indicated, non-surgical treatment options for proximal humerus fractures have good outcomes in terms of fracture healing and restoration of arm function. (wikipedia.org)
Have outcomes after patella fracture fixation improved in the last 33 years? (wustl.edu)
Functional outcomes for surgically treated 3- and 4- part proximal humerus fractures. (ijoro.org)
To report the outcomes of proximal humerus fracture operated with angular stability locking plate with regards to fracture pattern. (asesjournal.com)
To evaluate the clinical outcomes of the W-shaped suture technique under shoulder arthroscopy in the treatment of greater tuberosity fractures of the humerus. (biomedcentral.com)
Outcomes of displaced adolescent distal third tibia fractures: can we do better? (ucdenver.edu)
7. Evaluation of functional outcomes of a modified technique for percutaneous pinning of proximal humeus fracture [Internet]. (ojmpc.com)
Percutaneous compression plate improves intertrochanteric fracture outcomes. (myorthoevidence.com)
The aim of this entry is to gather some of the existing literature on the different tuberosity fixation techniques and prosthetic designs of RTSA that can influence outcomes in fracture management. (encyclopedia.pub)
MELD score predicts short-term outcomes after surgical management of proximal humerus fractures: a matched analysis. (ucla.edu)

The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
These cases required meticulous surgical planning in terms of fixation and shoulder Arthroplasty. (sphhealthcare.org)
Reverse total shoulder arthroplasty (RTSA) is increasingly used for the treatment of complex proximal humerus fractures and fracture sequelae. (encyclopedia.pub)
Geriatric Distal Femur Fractures: Equivalent Long-Term Reoperation Rates Between Fixation and Primary Arthroplasty. (ucla.edu)
Long stem reverse shoulder arthroplasty and cerclage for treatment of complex long segment proximal humeral fractures with diaphyseal extension in patients more than 65 years old. (journal-imab-bg.org)

We think this can be accounted for due to the variable bone quality, thinner cortices and multiple torsional forces in the proximal shaft that may warrant special consideration for fixation. (researchsquare.com)
Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
A proximal humerus fracture is a break of the upper part of the bone of the arm (humerus). (wikipedia.org)
Growth plate (physeal) fractures may be defined as disruptions in the cartilaginous physis of long bones that may or may not involve epiphyseal or metaphyseal bone. (medscape.com)
Your shoulder girdle comprises your collarbone (clavicle), your shoulder blade (scapula), your arm bone (humerus) and all the muscles and ligaments that support and move these bones. (windsorupperlimb.com)
Fractures can occur at any site of the humeral bone. (austinsportsmed.com)
Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most long bone fractures - except femur fractures, for which traction was the mainstay of treatment. (medscape.com)
Although this process has been called secondary bone union or indirect fracture repair, it is the natural and expected way fractures heal. (medscape.com)
In this model, cutter heads of the osteons reach the fracture and cross it where bone-to-bone contact exists. (medscape.com)
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). (medlineplus.gov)
Prosthesis designs, bone grafting and tuberosity fixation techniques have evolved to allow better and more reliable fixation of tuberosities and bony ingrowth. (encyclopedia.pub)
An inlay implant sits within the metaphyseal bone at the proximal component, requiring more extensive reaming. (encyclopedia.pub)
An onlay proximal interface sits on top of the neck cut, which theoretically allows for preservation of proximal bone stock including tuberosities [ 20 ] . (encyclopedia.pub)
Due to the bone density in osteopenic bone straight nails provide a better fixation in the proximal humerus in the region of their entry point. (aofoundation.org)
10) Intra operative changes of treatment due to small diameter of humerus shaft to use nail, fracture line through the nail entry point or severely reduced bone quality resulting in fixation problems with either implants. (who.int)
A fracture is a break in a bone. (msdmanuals.com)
Most fractures result from a single, significant force applied to normal bone. (msdmanuals.com)
Pathologic fractures occur when mild or minimal force fractures an area of bone weakened by a disorder (eg, osteoporosis, cancer, infection, bone cyst). (msdmanuals.com)
A hematoma forms at the fracture site, and a small amount of bone in the distal fracture fragments is resorbed. (msdmanuals.com)
If a fracture line is not evident initially (eg, in some nondisplaced fractures), one typically becomes evident about 1 week after the injury as this small amount of bone is resorbed. (msdmanuals.com)
The reparative phase ends with clinical union of the fracture (ie, when there is no pain at fracture site, the injured extremity can be used without pain, and clinical examination detects no bone movement). (msdmanuals.com)

Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)
There are both non-surgical and surgical options for treatment of proximal humerus fractures. (wikipedia.org)
Breakout session will highlight issues commonly encountered in the surgical management of intra-articular distal humerus fractures with regard to surgical exposure, implant choice and avoidable pitfalls. (newswise.com)
There are specific considerations in treating childhood fractures that differ from those appropriate in treating adult fractures, often including different surgical approaches and technical concerns, different alignment goals, different fixation devices, and different follow-up intervals. (medscape.com)
In this study, we want to assess whether the different surgical approach, deltopectoral and transdeltoid approach, used for the stabilization of the fracture proximal humerus effects on the outcome of the surgery. (ijoro.org)
Hepp P, Theopold J, Voigt C, Engel T, Josten C, Lill H. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. (ijoro.org)
Indications for surgery were 3-part & 4-part closed proximal humeral fractures, surgical neck fractures with angulation greater than 45 degrees or greater tuberosity fracture with displacement of more than 1 cm. (orthopaper.com)
Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)
104 patients over the age of 60 years with intertrochanteric fracture were randomized to either receive surgical treatment with a percutaneous compression plate or a compression hip screw. (myorthoevidence.com)
Hemiarthroplasty is commonly accepted as the first surgical choice of treatment for three or four-part fractures of the proximal humerus. (journal-imab-bg.org)
Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. (unipv.it)
CONCLUSIONS: MIPO for proximal humeral fractures is an effective and safe surgical procedure. (unipv.it)
In three-part fractures, either the lesser or greater tuberosity is displaced with associated displacement of the surgical neck producing a rotational deformity. (who.int)

Above knee socket prosthesis use changes proximal femur morphology. (ucdenver.edu)
The Distal Femur Fractures -- 29. (nshealth.ca)
To assess the feasibility of a definitive cluster randomized crossover trial to determine the effect of lateral patient positioning versus supine positioning with fracture table use for reamed antegrade intramedullary fixation of femur fractures. (motr.ca)
Midshaft femur fractures appropriate for antegrade fixation. (motr.ca)

Although 6-8 cortices of proximal and distal fixation have been recommended based on expert opinion 1 , there is considerable variation in plating techniques and fixation constructs to match the variability in patient and fracture characteristics. (researchsquare.com)
Plating of proximal humeral fractures. (ijoro.org)
Locked plating for proximal humeral fractures: Differences between the deltopectoral and deltoid-splitting approaches. (ijoro.org)
We are undertaking this study to get a better understanding of the use of operative management of these fractures with LCP plating. (orthopaper.com)
S.K. Venkatesh Gupta, Sandeep Kumar Reddy.D. A clinical study of management in proximal humerus fractures in adults with LCP plating. (orthopaper.com)
Plantar Plating for the Treatment of Proximal Fifth Metatarsal Fractures in Elite Athletes. (joshuaharrismd.com)

11. Helwig P, Bahrs C, Epple B, Oehm J, Eingartner C, Weise K. Does fixed-angle plate osteosynthesis solve the problems of a fractured proximal humerus? (asesjournal.com)
Distal Radius Fractures with Metaphyseal Involvement: "Minimally Invasive Volar Plate Osteosynthesis" -- 20. (nshealth.ca)
Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures. (journal-imab-bg.org)
BACKGROUND: The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis (MIPO) for proximal humerus fractures. (unipv.it)

Operative treatment of humeral shaft fractures (AO/OTA 12) is being performed more frequently. (researchsquare.com)
This study analyzes risk factors associated with mechanical failure following plate fixation of humeral shaft fractures in order to further elucidate the mode and location of failure. (researchsquare.com)
A retrospective review of 351 humeral shaft fractures was completed at a single level I trauma center. (researchsquare.com)
Eleven of eighty-five humeral shaft fractures had aseptic mechanical failure requiring revision (12.9%), following initial plate fixation. (researchsquare.com)
Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures. (wustl.edu)
Arthroscopy-Assisted Retrograde Nailing of Femoral Shaft Fractures -- 28. (nshealth.ca)

10. Handschin AE, Cardell M, Contaldo C, Trentz O, Wanner GA. Functional results of angular-stable plate fixation in displaced proximal humeral fractures. (asesjournal.com)

performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)

Accordingly, it is important to understand the complications associated with operative fixation. (researchsquare.com)
However, this treatment paradigm is being challenged, with increasing rates of operative fixation 2 . (researchsquare.com)
When operative fixation is employed, it is critical to understand appropriate fixation strategies to achieve bony union and decrease rates of failure. (researchsquare.com)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
Dr. Berkes specializes in the nonoperative and operative management of acute fractures and dislocations of the upper and lower extremities as well as fractures that fail to heal (nonunions). (wustl.edu)
Isiklar Z, Kormaz F, Gogus A, Kara A. Comparison of deltopectoral versus lateral deltoid split approach in operative treatment of proximal humeral fractures. (ijoro.org)
7. Zyto K. Non-operative treatment of comminuted fractures of the proximal humerus in elderly patients. (asesjournal.com)
Operative technique for open reduction and pinning of lateral condyle fractures. (posna.org)

8. Russo R, Lombardi LV, Ciccarelli M, Giudice G, Cautiero F. A new osteosynthesis device for the treatment of proximal humerus fractures. (asesjournal.com)

Fracture characteristics (AO type, comminution, location) and fracture fixation (plate type, multiplanar, number of screws proximal and distal to the fracture) were compared between aseptic mechanical failure and those without failure. (researchsquare.com)
There was significant differences in fixation between the aseptic mechanical failure group and those without failure, specifically in the number of screws for proximal fixation (p=0.008) and distal fixation (p=0.040). (researchsquare.com)
The current dogma of humeral shaft fracture stabilization is to use a minimum of 3 screws proximal and distal to the fracture, however the current study demonstrates this is associated with higher rates of mechanical failure. (researchsquare.com)
In contrast, constructs with 4 bicortical screws or more of fixation on either side of the fracture had lower failure rates and may help to reduce the risk of mechanical failure. (researchsquare.com)
Sutures placed through the rotator cuff tendons and the bolts increase stability, and should be used as well as the nail and screws, particularly for more comminuted and/or osteoporotic fractures. (aofoundation.org)
This nail has 4 cannulated proximal screws to provide fixation perpendicular to fracture lines and to avoid reduction loss due to the pull-out force of rotator cuff. (who.int)

percutaneous K wire fixation using the external fixator mini clamps and rods is an effective and economical method allowing biological preservation with good results. (ojmpc.com)

Background: In this study, a retrospective evaluation was made of patients aged 70 years and over who were applied with proximal-femoral nail (PFN) or calcareous replacement cemented hemiarthroplasty in respect of early and late-stage morbidity and mortality and functional personal independence. (journaltocs.ac.uk)
The patients were separated into two groups as those applied with proximal femoral nailing and those applied with calcar replacement hemiarthroplasty. (journaltocs.ac.uk)
The patient was managed with a long-stemmed shoulder hemiarthroplasty and cerclage wiring of the fracture area. (journal-imab-bg.org)
We report the functional, anatomical and radiological outcome of a case of a rare type of proximal humeral fracture that was managed with a long-stemmed hemiarthroplasty and cerclage wire and has shown a good early clinical outcome. (journal-imab-bg.org)
Long-stemmed Hemiarthroplasty with Cerclage Wiring for the Treatment of Split-Head Fractures of the Proximal Humerus with Metaphyseal Extension: A Report of 2 Cases. (journal-imab-bg.org)
Proximal humeral fractures treated with hemiarthroplasty: does tenodesis of the long head of the biceps improve results? (journal-imab-bg.org)

Complications following treatment of supination external rotation ankle fractures through the posterolateral approach. (wustl.edu)
All fractures healed and no postoperative complications occurred. (unipv.it)
Serious complications of fractures are unusual but may threaten life or limb viability or cause permanent limb dysfunction. (msdmanuals.com)
Risk of complications is high with open fractures (which predispose to infection) and with fractures that disrupt blood vessels, tissue perfusion, and/or nerves. (msdmanuals.com)
Closed fractures that do not involve blood vessels or nerves, particularly those that are quickly reduced, are least likely to result in serious complications. (msdmanuals.com)

Radial neck fractures account for up to 10% of all pediatric elbow fractures, usually occurring as a result of valgus stress onto an outstretched arm. (posna.org)
Arthroscopic Management of Shoulder and Elbow Fractures -- 8. (nshealth.ca)
Rehabilitation After Minimally Invasive Fixation of Elbow Fractures -- Part III. (nshealth.ca)
5) Concomitant ipsilateral fractures of distal humerus/ or elbow joint, 6) Previous surgery of affected shoulder, 7) Pathologic fracture (malignancy fractures), 8) Neurovascular injuries (e.g., stroke, or brachial plexus injuries), 9) Neurological disorders (e.g. (who.int)

Her xray and CT Scan showed comminuted fracture dislocation right proximal humerus. (sphhealthcare.org)
Fractures complicated with head split or dislocation are generally treated operatively [ 2 ] [ 3 ] . (encyclopedia.pub)

In 2021, half a dozen models of fracture stems are commercially available, reflecting its growing utility for fracture management. (encyclopedia.pub)

The Neer classification of proximal humerus fractures is the most commonly used classification system. (wikipedia.org)

The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
Proximal humeral fractures are extremely common injuries. (ojmpc.com)
Proximal humerus fractures are common injuries in adults, representing the third most common fracture in patients older than 60 years of age [ 1 ] . (encyclopedia.pub)

Osteoporosis increases the risk of proximal humerus fractures. (wikipedia.org)
The incidence of fracture of the proximal humerus is bimodal in geriatric due to osteoporosis and in adolescents due to high-energy trauma. (ojmpc.com)
3 4 ] A recent study reported that an osteoporotic fracture represented the most important predictive factor for further osteoporotic fractures, so, every country in the world has been attempting to treat osteoporosis for the prevention of osteoporotic fractures and refractures. (e-jbm.org)

Proximal humerus fractures can be seen in children and adolescents after a fall or following significant trauma, like motor vehicle accidents. (posna.org)
Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
A 62-year-old female who has sustained complex multi-fragmentary trauma of the proximal humerus presented to the clinic after a low-energy trauma. (journal-imab-bg.org)

Classifications in Brief: The Neer Classification for Proximal Humerus Fractures. (ojmpc.com)
Inclusion criteria: Patients with displaced three-part proximal humerus fractures based on Neer classification will be included. (who.int)

Arthroscopic Treatment Vs. Open Surgery in Intra-articular Fractures -- 3. (nshealth.ca)
Intra-articular Fractures: Principles of Fixation -- 4. (nshealth.ca)
Intra-articular Fractures: Philosophy of Minimally Invasive Fixation -- 5. (nshealth.ca)
A prospective study was performed on all patients diagnosed with intra-articular proximal humerus fracture presenting to us from Nov 2018 to June 2022. (ojmpc.com)

This superbly illustrated book is a comprehensive and detailed guide to the contemporary arthroscopic management of intraarticular fractures. (nshealth.ca)
The opening section addresses a variety of basic aspects and key issues, including the difficulties posed by intraarticular fractures, principles of fixation, cartilage healing, and rehabilitation. (nshealth.ca)

What are the symptoms of Clavicle fracture? (windsorupperlimb.com)
A fracture of collarbone or clavicle fracture is a common in people of all ages. (austinsportsmed.com)
Distal Clavicle Fractures -- 11. (nshealth.ca)
The proximal one is under the clavicle at the midpoint. (medscape.com)
The boundaries of the infraclavicular fossa are the pectoralis minor and major anteriorly, ribs medially, clavicle and coracoid process superiorly, and humerus laterally. (medscape.com)

People with increased risk of falls are more likely to have a proximal humerus fracture, as this is also the most common mechanism of injury. (wikipedia.org)
MRI is not typically indicated in the setting of proximal humerus fracture, although it may be useful in assessing injury to soft tissue structures such as the rotator cuff muscles. (wikipedia.org)
percutaneous Kirschner wire (K-wire) fixation may be stable enough, and prevention of iatrogenic injury to the physis is of significant importance. (medscape.com)
It usually results from wear and tear on cartilage due to aging or injury, such as a fracture. (bonniegregorymd.com)
The fractures were closed, and there was no neurovascular injury. (biomedcentral.com)
Complex multi-fragmentary fractures of the proximal humerus are a rare type of injury, which represent a major challenge, even to the most experienced shoulder surgeons. (journal-imab-bg.org)

In conclusion locking Compression plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization. (orthopaper.com)

Comparison of supination external rotation type IV ankle fractures in geriatric versus non-geriatric populations. (wustl.edu)
Acute Tibialis Posterior Tendon Rupture With Pronation-Type Ankle Fractures. (joshuaharrismd.com)

Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
The treating provider needs to know which fractures are likely to remodel (usually those with angulation in the plane of joint motion) and which are unlikely to remodel (eg, fractures with rotational deformity, joint incongruity, or physeal stepoff, as well as those occurring in patients near skeletal maturity). (medscape.com)
Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
A total of 30 patients with fracture proximal humerus 2, 3 and 4-part were included in this study and were divided into 2 groups. (ijoro.org)
In group 1, out of 3 patients having 2-part fracture, 2 had excellent result and 1 had fair result. (ijoro.org)
Out of 4 patients having 3-part fracture, 3 had good outcome and 1 had fair result. (ijoro.org)
In group 2, out of the 3 patients having 2-part fracture, 1 had excellent outcome and 2 had good outcome. (ijoro.org)
Out of the 6 patients having 4-part fracture, 3 had good result. (ijoro.org)
The functional outcome after fracture replacement varies between patients. (windsorupperlimb.com)
Patients with greater tuberosity fractures of the humerus often require surgery. (biomedcentral.com)
A total of 17 patients with humeral greater tuberosity fracture treated with arthroscopic-assisted reduction and W-shaped suture fixation at our hospital between May 2015 and February 2019 were included in this retrospective study. (biomedcentral.com)
This volume will greatly assist both trainee and more experienced surgeons in selecting and executing arthroscopic techniques when treating patients with these complex fractures, which entail the risk of poor long-term function and further deterioration. (nshealth.ca)
Only patients with closed, displaced two or three part fractures as per Neer's classification were included in the study. (ojmpc.com)
The results indicate that at 6 weeks, patients that were surgically treated with the percutaneous compression plate (PCCP) had reduced blood loss, improved pain and weight-bearing ability, and less fracture disp. (myorthoevidence.com)
Patients aged 50 years or older with initial proximal humerus fractures reported in 2012 were enrolled and followed up until 2016 using the Korean National Health Insurance data. (e-jbm.org)
1 2 ] Substantial evidence also suggests that patients who sustained a single fragility fracture are at a significantly increased risk of having a second fracture in the future. (e-jbm.org)
most of these fractures occur in patients older than 65 and are associated with female gender, making them the second most common upper-extremity fractures. (e-jbm.org)
MATERIALS AND METHODS: From October 2011 to March 2016, thirty-nine patients (32 women, 7 men) with a mean age of 64.9 years (range: 48-80) were surgically treated with the MIPO technique for proximal humeral fractures. (unipv.it)

The recommended treatment is decided based on fracture stability as determined with imaging and clinical exam. (wikipedia.org)
It is essential to keep in mind that with growth plate fractures, as with real estate, the most important datum is location, and timing is the key to treatment. (medscape.com)
Defining the lateral and accessory views of the patella: an anatomic and radiographic study with implications for fracture treatment. (wustl.edu)
Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
Treatment of proximal humeralfractures-A review of current concepts enlightened by basic principles. (ijoro.org)
13. Thanasas C, Kontakis G, Angoules A, Limb D, Giannoudis P. Treatment of proximal humerus fractures with locking plates: a systematic review. (asesjournal.com)
With the recent development of arthroscopy, arthroscopic treatment of humeral greater tuberosity fracture has been widely used [ 5 ]. (biomedcentral.com)
Arthroscopic Treatment of Greater Tuberosity Fractures of the Proximal Humerus -- 13. (nshealth.ca)
Arthroscopic Treatment of Scaphoid Fractures -- 21. (nshealth.ca)
Anatomical study for the treatment of proximal humeral fracture through the medial approach. (journal-imab-bg.org)

Reduction and fixation of the lesser tuberosity helps restore normal function. (aofoundation.org)
Sutures in the subscapularis tendon insertion aid both reduction and fixation of the lesser tuberosity. (aofoundation.org)
The axillary nerve should be protected by limiting the incision to less than 5 cm distal to the acromial edge, by palpating the nerve, and by avoiding maneuvers that stretch the nerve during reduction and fixation. (aofoundation.org)
In our experience, the main advantage of this approach consists in the direct access to the greater tuberosity, thus facilitating its anatomic reduction and fixation. (unipv.it)

They are the third most common non-vertebral fragility fracture after the hip and distal radius. (scielo.org.za)
The Fragility Fracture Network (FFN) is a multidisciplinary global organization that promotes the advancement of care for those having a fragility fracture. (aoao.org)
these fractures are often called insufficiency or fragility fractures. (msdmanuals.com)

The shoulder joint consists of the glenoid cavity of the scapula and the head of the humerus. (wikipedia.org)

citation needed] Most proximal humerus fractures are stable and can be treated without surgery. (wikipedia.org)
Did you mean topic:"intra-auricular fractures - surgery" ? (nshealth.ca)
Arthroscopic-Assisted Surgery of the Distal Humeral Fractures -- 15. (nshealth.ca)

Infraclavicular nerve block reduces postoperative pain after distal radial fracture fixation: a randomized controlled trial. (medscape.com)

Distal Radius Fractures -- 19. (nshealth.ca)

The greater and lesser tuberosities are bony landmarks of the proximal humerus and serve as attachment sites for musculature. (wikipedia.org)

Previous biomechanical work on optimal screw configurations, plate type and the use of locking constructs have been studied as a result, but they investigate a very narrow range of fracture patterns and configurations 4 , 5 . (researchsquare.com)
However, cannulated screw fixation of the greater tuberosity fracture is associated with increased morbidity due to comminution or migration of the fractured fragment and poor fixation. (biomedcentral.com)
Fixation with plate screw would have been a futile exercise on 83-yr-old with weak bones and high quality fracture. (dramynrajani.com)

Diaphyseal humerus fractures (AO/OTA 12) have traditionally been managed nonoperatively with splinting and functional bracing 1 . (researchsquare.com)

2) Articular split, 3) fractures more than 4 weeks old, 4) open fractures. (who.int)

In proximal humeral fractures which consist of a fracture of the greater tuberosity the trajectory of bent nails often passes through the fracture line between the greater tuberosity and the humeral head whereas straight nails penetrate the humeral head medial to the fracture line. (aofoundation.org)
It will not anesthetize the axilla or the proximal medial arm, missing the intercostal and medium cutaneous brachii nerves. (medscape.com)

According to the Neer's classification, 2, 3- and 4-part fracture are difficult to achieve stable fixation. (ijoro.org)

The greater tuberosity fracture of the humerus is one of the common proximal humerus fractures among the young and male population [ 1 ]. (biomedcentral.com)
In this study, we retrospectively evaluated the clinical outcome of the fixation of humeral greater tuberosity fracture using the W-shaped suture technology. (biomedcentral.com)

A multidisciplinary team from nanoengineering, cell biologists and mechanical engineers allows a comprehensive approach to fracture healing, implant design and cell modification in order to identify and market novel orthopaedic technology. (mcgill.ca)
The extended deltoid-splitting approach to the proximal humerus: Variations and extensions. (ijoro.org)

Anatomy10

Diseases39

Analytical, Diagnostic and Therapeutic Techniques and Equipment30

Phenomena and Processes8

Health Care5

Internal fixation30

ORIF1

Outcomes13

Arthroplasty6

Bone21

Surgical13

Femur4

Plating6

Plate osteosynthesis4

Shaft fractures6

Displaced proximal humeral fractures1

Complex proximal humerus1

Operative8

Osteosynthesis1

Screws6

Percutaneous K wire fixation1

Hemiarthroplasty6

Complications5

Elbow4

Dislocation2

20211

Classification of proximal1

Injuries3

Osteoporosis3

Trauma3

Neer2

Intra-articular4

Intraarticular2

Clavicle5

Injury6

Elderly patients1

Ankle Fractures2

Patients18

Treatment10

Reduction and Fixation4

Fragility3

Head of the1

Surgery3

Postoperative1

Distal Radius Fractures1

Bony1

Screw3

Diaphyseal1

Open fractures1

Medial2

Neer's1

Greater tuberosity fracture2

Approach2