Evaluating the reoperation rate and hardware durability of three stabilizing implants for 105 malignant pathologic humerus fractures

Injury
Jason S HoellwarthRichard McGough

Abstract

Many patients sustaining a malignant pathologic humerus fracture (MPHF) elect for surgical stabilization. Complications prompting reoperation can occur, leading to additional quality of life and financial cost. One common event preceding reoperation is a broken implant (BI). The purpose of this study was to identify the rate of reoperation following surgical stabilization of MPHF with three techniques - photodynamic bone stabilization (PBS), intramedullary nail (IMN), and cemented plate fixation (CPF) - and estimate to what extent improved implant durability might prevent reoperation. Retrospective data collection was performed, identifying 105 procedures (100 patients) who underwent non-articular MPHF surgery from 2010-2016: 19 PBS, 65 IMN, 21 CPF. All patients were followed for at least two years or until death. Reoperation rates were similar at one year (10.5%,6.2%,4.8%, p = 737), two years (15.8%,6.2%,9.5%, p = 375), and final evaluation (15.8%,7.7%,14.3%, p = 248). The rate of BI for PBS, IMN, and CPF was 10.5%,0%, and 4.8% (p = 049 PBS/IMN) at one year, 15.8%,0%, and 9.5% (p = 010 PBS/IMN) at two years, and 15.8%,0%, and 14.3% (p = 010 IMN/PBS, p = 013 IMN/CPF) at final evaluation. Reoperation rate was not significantly d...Continue Reading

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Citations

Nov 22, 2020·Journal of Shoulder and Elbow Surgery·Troy B AmenAntonia F Chen
Jan 26, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ryan T VoskuilThomas J Scharschmidt
Jul 23, 2021·Journal of Surgical Oncology·Mitchell S FourmanSantiago Lozano-Calderon
Sep 29, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Tomohiro MatsumuraKatsushi Takeshita

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