Internal fixation of unstable proximal humerus fractures with an anatomically preshaped interlocking plate: a clinical and radiologic evaluation

The Journal of Trauma
Michael Tobias HirschmannThomas Gross

Abstract

We evaluated the outcome after internal fixation of unstable or displaced proximal humerus fractures with a new fixed-angle implant. Prospective consecutive study with a 1-year clinical follow-up in 119 of 137 patients (87%; mean 68 +/- 15 years; 31 two-, 47 three-, and 41 four-part fractures). One year postoperatively, the range of motion of the injured side demonstrated on average four-fifths of the function of the contralateral side. Ninety-five percentage of patients (n = 114) could dress themselves independently with no or only slight restriction. The mean disabilities of the arm, shoulder, and hand score was 21 (range, 0-62). The absolute and relative Constant score significantly (p < 0.001) improved from 56 +/- 18 (75% +/- 21%) at 6 months postoperatively to up to 65 +/- 18 (82% +/- 18%) at 12 months postoperatively. The initial fracture configuration did not have a significant influence on clinical outcome or complications. Twenty-six patients (22%) underwent a reintervention because of a clinical problem or subjective complaint, which led to total or relevant relief of problems in 23 patients (87%). Radiologic follow-up revealed a significant correction of the mean fragment angles (p < 0.001) postoperatively compared w...Continue Reading

References

Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·R P JakobR Ganz
Jan 1, 1987·Clinical Orthopaedics and Related Research·C R Constant, A H Murley
Dec 1, 1993·The Journal of Bone and Joint Surgery. American Volume·K A Siebenrock, C Gerber
Mar 1, 1997·The Journal of Bone and Joint Surgery. British Volume·H ReschM Wambacher
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·K ZytoH Törnkvist
Jan 31, 1998·Der Unfallchirurg·P Habermeyer
Jan 12, 1999·Journal of Shoulder and Elbow Surgery·C GerberC Berberat
Sep 15, 1999·International Orthopaedics·A P Boss, B Hintermann
Nov 18, 2000·International Orthopaedics·S L ChecchiaC H Ramos
Sep 27, 2001·Der Unfallchirurg·H LillC Josten
Oct 3, 2001·Acta Orthopaedica Scandinavica·C M Court-BrownM M McQueen
Jan 5, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Lill, C Josten
Jan 5, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M H Hessmann, P M Rommens
Feb 21, 2003·Zentralblatt für Chirurgie·W LungershausenC O Lorenz
Mar 7, 2003·Journal of Orthopaedic Trauma·Mehmet DemirhanYilmaz Akalin
Mar 14, 2003·The Journal of Trauma·Guido A WannerWolfgang Ertel
Apr 18, 2003·Journal of Shoulder and Elbow Surgery·Christophe SadowskiPierre Hoffmeyer
May 6, 2003·The Journal of Bone and Joint Surgery. British Volume·S A HodgsonD Stanley
May 22, 2003·Journal of Orthopaedic Trauma·Maxwell C ParkLouis U Bigliani
May 28, 2003·Injury·Michael Hockings, John F Haines
Sep 5, 2003·The Journal of Bone and Joint Surgery. American Volume·C Michael Robinson, Richard S Page
Nov 13, 2003·Clinical Orthopaedics and Related Research·Pierre HeppGeorg N Duda
Jan 31, 2004·Archives of Orthopaedic and Trauma Surgery·K RaissadatC J M van Loon
Mar 30, 2004·The Journal of Bone and Joint Surgery. British Volume·F KralingerH Resch

❮ Previous
Next ❯

Citations

Mar 27, 2012·Archives of Orthopaedic and Trauma Surgery·Alexander BrunnerWerner Schmölz
Nov 21, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ben OckertStefan Grote
Oct 1, 2013·Acta Orthopaedica. Supplementum·Stig Brorson
Jul 23, 2011·Journal of Children's Orthopaedics·Sohrab PahlavanHarish Hosalkar
Nov 26, 2010·Injury·Dimitrios KarataglisAnastasios Christodoulou
Mar 10, 2010·Journal of Shoulder and Elbow Surgery·Eric T RicchettiJoseph A Abboud
Oct 6, 2009·Journal of Shoulder and Elbow Surgery·Charles J PetitJon J P Warner
Jun 23, 2009·Injury·Periklis PapadopoulosAnastasios Christodoulou
Dec 20, 2008·Journal of Shoulder and Elbow Surgery·Churl-Woo Lee, Sang-Jin Shin
May 11, 2015·Musculoskeletal Surgery·G CampochiaroF Catani
Jun 11, 2011·Acta Orthopaedica·Stig BrorsonAsbjørn Hróbjartsson
Dec 18, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Murat ErdoğanHicabi Sezgin
Jun 11, 2016·Revista Brasileira De Ortopedia·Antonio Carlos Tenor JuniorRômulo Brasil Filho
Feb 18, 2017·Archives of Physical Medicine and Rehabilitation·Linda ResnikJill Cancio
Feb 9, 2012·Orthopedics·Neil G BurkeHannan Mullett
Aug 24, 2017·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Ronnart N KruithofTim K Timmers
Sep 21, 2017·Archives of Orthopaedic and Trauma Surgery·Frank J P BeeresN W L Schep
Sep 10, 2011·Journal of Orthopaedic Trauma·C Michael RobinsonTim O White
Mar 24, 2009·Journal of Pediatric Orthopedics·Christian BahrsKuno Weise
Nov 6, 2018·Annals of Biomedical Engineering·Ali JabranLei Ren
Jul 30, 2009·Clinical Orthopaedics and Related Research·Michael Tobias HirschmannThomas Gross
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Christian SprossMichael Dietrich
Aug 28, 2019·Techniques in Hand & Upper Extremity Surgery·Gian Luigi MoroGianfranco Fraschini
Jul 20, 2012·Journal of Orthopaedic Trauma·Cyril InauenMichael Dietrich
Aug 28, 2019·Acta ortopedica brasileira·Rodrigo Souto Borges PetrosDanilo Canesin Dal Molin
Aug 28, 2019·Acta ortopedica brasileira·Guilherme Grisi MourariaMaurício Etchebehere
Aug 14, 2015·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Feng MaoYi Liao
Dec 25, 2013·Revista Brasileira De Ortopedia·Mauro Emilio Conforto GracitelliJorge Dos Santos Silva

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.