An alternative technique for greater tuberosity fractures: use of the mesh plate

Archives of Orthopaedic and Trauma Surgery
Yelena BogdanDavid S Wellman

Abstract

Isolated greater tuberosity (GT) fractures (AO 11-A1) tend to occur in the younger patient population and are poorly managed by most precontoured proximal humerus locking plates. The goal of this study was to identify and assess an alternative treatment strategy for greater tuberosity fractures. A retrospective review of all cases of isolated greater tuberosity fractures treated with a 2.4/2.7 mesh plate (Synthes) between 2010 and 2015 was conducted. Patient demographics, operative reports, and clinical notes were reviewed. The time to radiographic union was assessed. Clinical outcomes were retrieved from patients at their follow-up visits or via mailed Disabilities of the Arm, Shoulder, Hand (DASH) questionnaires. Ten patients with isolated GT fractures treated with mesh plating were identified with an average age of 47.1 years. The average radiographic follow-up was 7.2 months and the average clinical follow-up was 8.0 months. The mean time to union was 8.5 weeks. Two patients underwent elective hardware removal. The mean DASH at final follow-up was 28.2 (±22.4), while the mean DASH work was 13.6 (±19.1). We have identified a viable alternative treatment option for the surgical management of isolated greater tuberosity fractu...Continue Reading

References

Oct 3, 2001·Acta Orthopaedica Scandinavica·C M Court-BrownM M McQueen
Dec 13, 2003·Journal of Shoulder and Elbow Surgery·Andrew Green, Joseph Izzi
May 3, 2005·Clinical Orthopaedics and Related Research·Michael J GardnerDean G Lorich
Feb 5, 2008·Injury·Konrad I GrusonNirmal C Tejwani
Mar 20, 2008·The Journal of Trauma·Patrick PlatzerChristian Gaebler
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Aug 20, 2010·Archives of Orthopaedic and Trauma Surgery·Volker SchöfflWolf Strecker
Aug 14, 2015·Journal of Orthopaedic Trauma·Dean G LorichDavid L Helfet
Dec 25, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Dominique M RouleauGeorges-Yves Laflamme

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Citations

Aug 3, 2018·The Open Orthopaedics Journal·Aristotelis KaisidisHorst Lindner
May 4, 2021·Trauma Case Reports·Shinsuke TakedaKen-Ichi Yamauchi

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